液体活检技术推动乳腺癌精准诊疗

Liquid biopsy technology promotes precision diagnosis and treatment of breast cancer

  • 摘要: 乳腺癌是女性最常见的恶性肿瘤之一,其发病率逐年攀升。乳腺癌内部复杂的异质性对个体化诊断、治疗和监测提出了更高的要求。近些年,在疾病诊断中,有创侵入性操作逐渐被无创性操作所取代,其中液体活检的问世及发展推动了临床肿瘤学领域的精准诊疗进程。液体活检通过血液或其他体液样本来检测肿瘤标志物,包括但不限于通过循环肿瘤细胞(CTC)、循环肿瘤DNA(ctDNA)和细胞外囊泡(EV)等体液样本。液体活检因其取样的便捷性、监测的连续性以及对个体诊疗的精确性而逐渐被广泛应用于临床。文章就近几年液体活检在乳腺癌中的进展进行介绍,并探讨液体活检相比于传统组织活检的优劣性。

     

    Abstract: Breast cancer is one of the most common malignant tumors in women, and its incidence is increasing year by year. Due to the complex heterogeneity within breast cancer, higher requirements are put forward for individualized diagnosis, treatment and monitoring. In recent years, invasive procedures have been gradually replaced by non-invasive procedures in the diagnosis of diseases, and the advent and development of liquid biopsy has promoted the process of precision diagnosis and treatment in the field of clinical oncology. Liquid biopsy is the detection of tumor markers through blood or other body fluid samples, including but not limited to circulating tumor cells (CTC), circulating tumor DNA (ctDNA) and extracellular vesicles (EV). Liquid biopsy has gradually been widely applied in clinical practice because of its convenience of sampling, continuity of monitoring and accuracy of individual diagnosis and treatment. This article reviews the progress of liquid biopsy in breast cancer in recent years, and discusses the advantages and disadvantages of liquid biopsy compared with traditional tissue biopsy.

     

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