实用医学杂志 ›› 2021, Vol. 37 ›› Issue (18): 2312-2316.doi: 10.3969/j.issn.1006⁃5725.2021.18.002

• 专家笔谈 • 上一篇    下一篇

脑胶质瘤治疗现状与进展

李德培, 陈忠平   

  1. 中山大学肿瘤防治中心神经外科/神经肿瘤科(广州 510060)

  • 出版日期:2021-09-25 发布日期:2021-09-25
  • 通讯作者: 陈忠平 E⁃mail:chenzhp@sysucc.org.cn

Current statue and advances of treatment for gliomas

LI Depei,CHEN Zhongping.   

  1. Department of Neurosur⁃ gery and Neuro⁃oncology,Sun Yat⁃sen University Cancer Center,Guangzhou 510060,China 

  • Online:2021-09-25 Published:2021-09-25
  • Contact: CHEN Zhongping E⁃mail:chenzhp@sysucc.org.cn

摘要:

胶质瘤是最常见的颅内原发恶性肿瘤,目前的标准治疗方法包括手术切除和放化疗并不能带来满意的治疗效果,这与胶质瘤在脑内的侵袭性生长、血脑屏障限制和肿瘤耐药相关。近年来,随着 肿瘤基因组和免疫微环境等研究的深入,分子病理已引入临床指导胶质瘤的分子分型、预后评估和个体化治疗,也有越来越多的分子治疗新靶点被发现。同时,免疫治疗和肿瘤治疗电场等新技术逐步发展, 为进一步改善胶质瘤临床预后带来希望。本文将总结脑胶质瘤的治疗现状以及介绍胶质瘤临床研究的重要进展。

关键词:

胶质瘤,  , 分子病理,  , 靶向治疗,  , 免疫治疗,  , 肿瘤治疗电场

Abstract:

Glioma is the most common primary malignant brain tumor. Standard of care including surgery radiotherapy and chemotherapy has not resulted in a significant improvement in the survival outcome of patients. The invasive tumor growth,blood⁃brain barrier,and their intrinsic resistance to the induction of radio⁃chemothera⁃ py hinder the anti⁃cancer role of standard treatment. Currently,with increase in understanding of the genetic altera⁃ tion and immune microenvironment of glioma,many molecular markers have been identified and used in clinical practice for precise diagnosis,survival prediction and designing personalized therapy forpatients with glioma. The efficacies of novel targeted therapies are promising in several clinical trials. Immunotherapy and advanced physio⁃ therapies including tumor treating fields also achieved development. All these advances bring hope to improve the survival and quality of life for patients with glioma. In this review,we summarize the current status of treatment for gliomas and discuss the important advances in glioma oncology.

Key words:

glioma, molecular pathology, targeted therapy, immunotherapy, tumor?treating field