摘要
2022年,国家癌症中心发布的最新数据显示,中国妇科肿瘤的发病率呈上升趋势,以卵巢癌为例,年新发病例数为57200例,粗发病率为8.47/10万,年死亡病例数为27200例,粗死亡率达4.04/10万,发病率和死亡率均高于世标率(分别为5.59/10万和2.45/10万),中国从事妇科肿瘤防治事业的医师面临更大的挑战。妇科肿瘤在早期经过规范性治疗后整体疗效较好,但对于晚期、复发转移的患者,有限的治疗模式及高复发率往往导致预后较差。近年来,靶向治疗、免疫治疗、抗体药物偶联物治疗等新兴治疗方式开创了妇科肿瘤治疗的新纪元,为妇科肿瘤患者带来了更多治疗希望。本文总结2022年度妇科肿瘤手术治疗、放疗、化疗、靶向治疗、免疫治疗和生物标志物检测等方面的重大进展,以期更好地指导妇科肿瘤个体化精准治疗。
In 2022, the National Cancer Center released the latest data. The results show that the incidence of gynecologic tumors in China shows an upward trend. Taking ovarian cancer as an example, the annual number of new cases is 57 200, with a crude incidence rate of 8.47/100 000, and the annual number of death cases is 27 200, with a crude mortality rate of 4.04/100 000, and the morbidity and mortality are higher than the world standard rates(5.59/100 000 and 2.45/100 000, respectively). Physicians practicing gynecologic oncology in China face greater challenges. Patients with early gynecologic tumors have better overall outcomes after standardized treatment. However, limited treatment modalities and high recurrence rates often lead to poorer prognosis for patients with advanced, recurrent or metastatic gynecologic malignancies. In recent years, emerging treatments such as targeted therapy,immunotherapy and antibody-drug conjugate have ushered in a new era in the treatment of gynecologic tumors, bringing more hope to patients. This article summarized the significant advances in gynecological tumor surgery, radiotherapy, chemotherapy, targeted therapy, immunotherapy and biomarkers in the past year, so as to better guide the individualized and precise treatment of gynecologic tumors.
作者
郭勤浩
余敏
吴小华
GUO Qinhao;YU Min;WU Xiaohua(Department of Gynecological Oncology,Fudan University Shanghai Cancer Center,Department of Oncology,Shanghai Medical College,Fudan University,Shanghai 200032,China)
出处
《中国癌症杂志》
CAS
CSCD
北大核心
2023年第1期14-24,共11页
China Oncology
关键词
宫颈癌
卵巢癌
子宫内膜癌
外阴癌
诊治进展
Cervical cancer
Ovarian cancer
Endometrial cancer
Vulvar cancer
Progress in diagnosis and treatment
作者简介
第一作者:郭勤浩(ORCID:0000-0003-4661-481X),博士,主治医师;通信作者:吴小华(ORCID:0000-0002-6889-3541),博士,主任医师,复旦大学附属肿瘤医院妇瘤科主任,E-mail:wu.xh@fudan.edu.cn。
