中国癌症杂志 ›› 2023, Vol. 33 ›› Issue (1): 1-13.doi: 10.19401/j.cnki.1007-3639.2023.01.001

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2022年度胰腺癌研究及诊疗新进展

王旭(), 程合, 刘辰, 虞先濬()   

  1. 复旦大学附属肿瘤医院胰腺外科,复旦大学上海医学院肿瘤学系,复旦大学胰腺肿瘤研究所,上海市胰腺肿瘤研究所,上海 200032
  • 收稿日期:2022-12-30 修回日期:2023-01-13 出版日期:2023-01-30 发布日期:2023-02-13
  • 通信作者: 虞先濬(ORCID: 0000-0002-6697-7143),博士,教授、主任医师,复旦大学附属肿瘤医院副院长。
  • 作者简介:王旭(ORCID: 0000-0001-6920-0375),博士,副研究员。
    虞先濬,主任医师,二级教授,外科学和肿瘤学双科博士研究生导师,现任复旦大学附属肿瘤医院副院长、上海市胰腺肿瘤研究所所长、复旦大学胰腺肿瘤研究所所长、中国抗癌协会胰腺癌专业委员会主任委员。长期从事胰腺肿瘤外科基础和临床转化研究。获得国家杰出青年科学基金、全国五一劳动奖章,入选科技部“中青年科技创新领军人才”、国家百千万人才工程“有突出贡献中青年专家”,享受国务院政府特殊津贴,被评为上海市科技精英、上海市领军人才、上海工匠、上海市优秀学术带头人。主持国家自然科学基金中德国际重点合作项目1项、区域合作重点项目1项、面上项目3项,省部级项目12项。以通信作者在Journal of Clinical OncologyGutAnnals of SurgeryCell ResearchAutophagyClinical Cancer ResearchCancer Research等国际权威SCI收录期刊上发表论文200余篇,获得国家实用新型专利5项。作为第一完成人获得中国抗癌协会科技奖一等奖、上海医学科技奖一等奖、上海市职工优秀创新成果奖一等奖。
  • 基金资助:
    国家自然科学基金(82172884);国家自然科学基金(82072693);国家自然科学基金(81902417);国家自然科学基金(U21A20374);上海市教委科技创新项目(2019-01-07-00-07-E00057);上海市科技重大专项(21JC1401500);上海市医院发展中心临床与科技创新项目(SHDC12018109);上海市医院发展中心临床与科技创新项目(SHDC2020CR1006A);国家重点研发计划(2020YFA0803202)

New progress in basic research, clinical diagnosis and treatment of pancreatic cancer in 2022

WANG Xu(), CHENG He, LIU Chen, YU Xianjun()   

  1. Department of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University; Pancreatic Cancer Institute, Fudan University; Shanghai Pancreatic Cancer Institute, Shanghai 200032, China
  • Received:2022-12-30 Revised:2023-01-13 Published:2023-01-30 Online:2023-02-13
  • Contact: YU Xianjun

摘要:

胰腺癌是中国致死人数排名第六的恶性肿瘤,其恶性程度高,早期病情隐匿,超过80%的患者在就诊时已进展为晚期,错失手术切除治愈的机会;而成功接受了手术治疗的胰腺癌患者,也极易发生转移,5年生存率仅为15% ~ 20%。不同于其他癌种,胰腺癌的放化疗及免疫治疗效率均较低,分子分型和精准治疗技术的研究也相对落后,急需临床医疗资源的投入和优质科研成果的转化,以改善患者预后。2022年是胰腺癌转化研究领域厚积薄发的一年,见证了第1个靶向KRASG12D的小分子药物的诞生和个性化T细胞受体工程化T(T-cell receptor engineered T,TCR-T)细胞治疗技术的临床应用,在胰腺癌发病因素、分子机制、代谢、免疫微环境等基础领域,以及早期诊断、手术治疗、药物治疗、免疫治疗等临床领域也各自取得了新突破。本文对2022年胰腺癌研究和诊疗领域的最新进展进行综述。

关键词: 胰腺癌, 基础研究, 临床研究

Abstract:

Pancreatic cancer is the sixth leading cause of cancer-related death in China. It is characterized by high malignancy and concealment at early stages. More than 80% of patients have progressed to advanced stages at the time of diagnosis, and missed the opportunity of surgical resection. Pancreatic cancer patients who have successfully received surgical resection are at a high risk of metastasis, and the 5-year survival rate is only 15%-20%. Unlike other types of cancer, radiotherapy, chemotherapy and immunotherapy do not work well for pancreatic cancer, and the research in molecular subtyping and precision medical therapy technology is also slow. It is an urgent need to devote more clinical medical resources and transfer high-quality scientific research achievements to improve the prognosis of patients. The year 2022 is a year of profound accumulation in the field of translational pancreatic cancer research, witnessing the generation of the first small-molecule drug targeting KRASG12D and the clinical application of personalized T-cell receptor engineered T (TCR-T) cell therapy, as well as other advances in basic fields such as pathogenesis, molecular mechanism, metabolic immune microenvironment, and clinical fields such as early diagnosis, surgical treatment, radiation therapy, chemotherapy and immunotherapy. Here we reviewed the latest progress in research, diagnosis and treatment of pancreatic cancer in 2022.

Key words: Pancreatic cancer, Basic research, Clinical research

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