颅内肿瘤综合治疗及其分子治疗研究进展

颅内肿瘤是神经系统较常见的严重疾病,不论是恶性还是良性,都会危害生命.研究发现本病癌细胞的染色体可发生断裂、片段缺失、易位、重排等异常情况.目前治疗以外科手术、放疗、联合化疗、免疫治疗和中医治疗为主,但恶性颅内肿瘤复发率高,预后不良,临床急需既可延长存活期、又能改善生存质量的综合治疗方案.进入分子靶向治疗时代,医学科学界对颅内肿瘤的分子机制愈增了解,加上诊断和医疗技术的长足进步,肿瘤的综合治疗不断有新的内容充实,为颅内肿瘤患者的个体化治疗与康复带来希望的曙光.本文报道目前颅内肿瘤的最新综合治疗方法,并阐述揉合基因组学、蛋白质组学、纳米医学和代谢组学于一身的前沿性分子治疗方案.

Integrated therapy and research progress in molecular therapy for intracranial tumor

Intracranial tumor is the most common primary neoplasm in the central nervous system, it is a complex, heterogeneous and hard to cure disease. Current treatments include gross resection of the tumor, radiotherapy, chemotherapy, immunotherapy and Chinese medicine treatment. Despite valiant efforts, prognosis remains dismal. The thrust of an integrated approach to increase disease-flee survival and improve quality-of-life is urgently required. In the era of molecular targeted therapy, recent promising diagnostic and therapeutic strategies have resulted from advancement in understanding molecular brain tumor biology, neuroimaging, neurosurgical treatment, radiotherapy, combined chemotherapy and molecular therapy. This review outlines the current status of diagnosis and therapeutic intervention in intracranial tumor. The article discusses the perspective of molecular therapy. This approach includes new technologies, such as genomics, proteomics, nanomedicine and metabolomics.