中国口腔颌面外科杂志 ›› 2024, Vol. 22 ›› Issue (4): 404-408.doi: 10.19438/j.cjoms.2024.04.015

• 综述 • 上一篇    下一篇

头颈部肉瘤的诊断与治疗现状

郭逸飞1, 张永红1, 任振虎2   

  1. 1.河南大学淮河医院 口腔科,河南 开封 475000;
    2.上海交通大学医学院附属第九人民医院 口腔颌面-头颈肿瘤科,上海交通大学口腔医学院, 国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海 200011
  • 收稿日期:2023-11-02 修回日期:2024-01-06 出版日期:2024-07-20 发布日期:2024-08-07
  • 通讯作者: 任振虎,E-mail:zhenhuren@126.com
  • 作者简介:郭逸飞(1998-),男,硕士,E-mail:1158991434@qq.com

Diagnosis and treatment of head and neck sarcoma

GUO Yi-fei1, ZHANG Yong-hong1, REN Zhen-hu2   

  1. 1. Department of Stomatology, Huaihe Hospital of Henan University. Kaifeng 475000, Henan Province;
    2. Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center of Oral Disease; Shanghai Key laboratory of Stomatology; Shanghai Research Institute of Stomatology. Shanghai 200011, China
  • Received:2023-11-02 Revised:2024-01-06 Online:2024-07-20 Published:2024-08-07

摘要: 肉瘤是一种低发型恶性肿瘤,头颈部肉瘤的发病率更低。由于肉瘤发生的概率较低且早期临床症状不明显,其诊断比较困难,需要综合临床症状及影像学、病理学、肿瘤标志物等进行诊断。当前肉瘤治疗的关键方法仍然是扩大切除。化疗、放疗、靶向及免疫治疗等可增强治疗效果或改善预后,新型生物标志物及光动力疗法等研究的进展能够对未来肉瘤的诊治提供更多手段。本文对目前头颈部肉瘤主流的诊治方法进行综述,并对未来诊治进行展望。

关键词: 头颈部肉瘤, 诊断, 生物标志物, 手术治疗, 辅助放化疗

Abstract: Sarcoma is a low-occurrence malignant tumor,head and neck sarcoma has a lower incidence rate. Due to the low probability of sarcoma and the lack of obvious early clinical symptoms, it is difficult to diagnose before treatment. Diagnosis needs to integrate clinical symptoms and imaging, pathological findings, and tumor markers, etc. At present, the key technical point for treatment of sarcoma is still wide margin surgery. Chemotherapy, radiotherapy, targeted and immunotherapy can enhance the treatment effect or improve the prognosis. Advances in research on new biomarkers and photodynamic therapy can provide more ways for the diagnosis and treatment of sarcomas in the future. The purpose of this article is to briefly describe the current mainstream diagnosis and treatment methods for head and neck sarcomas and prospects for future diagnosis and treatment.

Key words: Head and neck sarcoma, Diagnosis, Biomarkers, Surgical treatment, Adjuvant radiotherapy and chemotherapy

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