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不可手术局部晚期乳腺癌的诊治现状及无机纳米材料的应用价值。

Diagnosis and treatment status of inoperable locally advanced breast cancer and the application value of inorganic nanomaterials.

机构信息

School of Intelligent Medicine, China Medical University, Shenyang, 110122, China.

Department of Laboratory Medicine, The First Hospital of China Medical University, Shenyang, 110001, China.

出版信息

J Nanobiotechnology. 2024 Jun 25;22(1):366. doi: 10.1186/s12951-024-02644-9.

Abstract

Locally advanced breast cancer (LABC) is a heterogeneous group of breast cancer that accounts for 10-30% of breast cancer cases. Despite the ongoing development of current treatment methods, LABC remains a severe and complex public health concern around the world, thus prompting the urgent requirement for innovative diagnosis and treatment strategies. The primary treatment challenges are inoperable clinical status and ineffective local control methods. With the rapid advancement of nanotechnology, inorganic nanoparticles (INPs) exhibit a potential application prospect in diagnosing and treating breast cancer. Due to the unique inherent characteristics of INPs, different functions can be performed via appropriate modifications and constructions, thus making them suitable for different imaging technology strategies and treatment schemes. INPs can improve the efficacy of conventional local radiotherapy treatment. In the face of inoperable LABC, INPs have proposed new local therapeutic methods and fostered the evolution of novel strategies such as photothermal and photodynamic therapy, magnetothermal therapy, sonodynamic therapy, and multifunctional inorganic nanoplatform. This article reviews the advances of INPs in local accurate imaging and breast cancer treatment and offers insights to overcome the existing clinical difficulties in LABC management.

摘要

局部晚期乳腺癌(LABC)是一组异质性的乳腺癌,占乳腺癌病例的 10-30%。尽管目前的治疗方法不断发展,但 LABC 仍然是全球严重且复杂的公共卫生问题,因此迫切需要创新的诊断和治疗策略。主要的治疗挑战在于临床不可手术状态和局部控制方法无效。随着纳米技术的快速发展,无机纳米粒子(INPs)在诊断和治疗乳腺癌方面显示出潜在的应用前景。由于 INPs 的独特固有特性,通过适当的修饰和构建可以发挥不同的功能,因此它们适用于不同的成像技术策略和治疗方案。INPs 可以提高常规局部放疗的疗效。对于不可手术的 LABC,INPs 提出了新的局部治疗方法,并促进了光热和光动力疗法、磁热疗法、声动力学疗法和多功能无机纳米平台等新策略的发展。本文综述了 INPs 在局部精确成像和乳腺癌治疗方面的进展,为克服 LABC 管理中现有的临床困难提供了思路。

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