[Conversion therapy of biliary tract cancer from the perspective of tumor heterogeneity]

Zhonghua Wai Ke Za Zhi. 2021 Apr 1;59(4):260-264. doi: 10.3760/cma.j.cn112139-20210105-00006. Online ahead of print.
[Article in Chinese]

Abstract

Biliary tract cancer is found in the middle and advanced stages mostly and patients will deprive surgical indications. Conversion therapy can make the stage of some patients down and thus make radical resection feasible. Biliary tract cancer is highly heterogeneous in clinical features, cell origin, histology, molecular biology and other aspects, resulting in a lack of specific and effective conversion therapy strategies. Currently, it is the important development direction to evaluate and classify different individual conditions and select individualized conversion therapy regimens. With the deepening of the research on the pathogenesis and the improvement of treatment protocols, the future conversion therapy will undoubtedly develop towards the direction of individualization and precision.

胆道恶性肿瘤被发现时多已处于中晚期,丧失了手术机会。转化治疗可以使部分患者的肿瘤降期,从而有可能获得根治性切除的机会。胆道恶性肿瘤在临床特点、细胞起源、组织学及分子生物学等各方面均存在高度异质性,致使其缺乏特异性高、有效性好的转化治疗方案。针对不同个体情况进行评估、分型并选择个体化转化治疗方案是当前的重要研究方向。随着对发病机制研究的不断深入及治疗方案的完善,未来转化治疗无疑将朝着个体化、精准化方向发展。.

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  • English Abstract