国际妇产科学杂志 ›› 2018, Vol. 45 ›› Issue (3): 318-321.

• 综述 • 上一篇    下一篇

循环肿瘤细胞在卵巢癌临床应用中的研究进展

贺雨南,张瑜   

  1. 410008 长沙;中南大学湘雅医学院(贺雨南);中南大学湘雅医院妇产科(张瑜)
  • 收稿日期:2018-03-15 修回日期:2018-05-16 出版日期:2018-06-15 发布日期:2018-06-22
  • 通讯作者: 张瑜,E-mail:cszhangyu@126.com E-mail:cszhangyu@126.com

Clinical Application of Circulating Tumor Cells in Ovarian Cancer

HE Yu-nan,ZHANG Yu   

  1. XiangYa School of Medicine,Central South University,Changsha 410008,China(HE Yu-nan);Department of Gynecology and Obstetrics,XiangYa Hospital of Central South University,Changsha 410008,China(ZHANG Yu)
  • Received:2018-03-15 Revised:2018-05-16 Published:2018-06-15 Online:2018-06-22
  • Contact: ZHANG Yu,E-mail:cszhangyu@126.com E-mail:cszhangyu@126.com

摘要: 液体活检(liquid biopsy,LB)作为新一代检测技术,能更准确地评价肿瘤患者疾病进展,成为具有临床应用价值的管理工具,有望改善卵巢恶性肿瘤疾病的转归。对循环肿瘤细胞(circulating tumor cells,CTCs)动态数量变化或肿瘤生物学特性的监测,可应用于卵巢恶性肿瘤的早期筛查、疗效监测和耐药性评估、复发风险预测、患者预后判断等方面。相比目前依赖于肿瘤标志物的临床管理策略,CTCs的特异度更高,而且可以进行细胞学培养和分析。但CTCs与卵巢肿瘤的疾病进展之间的关系尚不十分明确,此外,适用于卵巢癌CTCs更高级的分子富集策略有待进一步明确。

关键词: 卵巢肿瘤, 早期诊断, 肿瘤标记, 生物学, 循环肿瘤细胞

Abstract: Liquid biopsy (LB), as a new generation detection technology, can more accurately evaluate the disease progress of tumor patients and become a valuable management tool of clinical medicine, which is expected to improve outcome of ovarian malignant tumor. It can be used in early screening, curative effect, assessing drug-resistance, relapse and prognosis of ovarian cancer via monitoring quantity changes of circulating tumor cells (CTCs) in body fluid. Comparing present clinical strategy depended on tumor markers, CTCs exhibit higher specificity and can be cytologically analyzed and cultured. However, the relationship between CTCs and the disease progression of ovarian tumors is not yet clear. Besides, more advanced molecular enrichment strategies needs to be applied to ovarian CTCs.

Key words: Ovarian neoplasms, Early diagnosis, Tumor markers, biological, Circulating tumor cells