BRAF基因突变对甲状腺乳头状癌诊治价值的研究进展

Advances in value of BRAF gene mutation on the diagnosis and treatment of papillary thyroid cancer

  • 摘要: 鼠类肉瘤滤过性毒菌致癌基因同源体B1(BRAF)基因突变是甲状腺乳头状癌(PTC)最常见的基因变化。相关性分析显示PTC的发生、发展与BRAF基因突变密切相关,BRAF基因突变对PTC的诊断及治疗指导的价值受到了广泛关注。但现有的临床证据显示,不能单纯依赖BRAF基因突变制定PTC患者的手术方式、指导初始危险度分层及术后选择放射性碘治疗。索拉非尼和司美替尼可改善放射性碘抵抗性PTC患者的预后,但其疗效与患者BRAF基因突变与否无显著相关性。

     

    Abstract: v-raf murine sarcoma viral oncogene homolog B1(BRAF) mutation represents the most common oncogenic event in papillary thyroid cancer(PTC). The value of BRAF mutation in the diagnosis and guiding treatment of PTC has achieved enthusiastic investigation since the initiation and progression of PTC has been correlated with BRAF mutation. However, existing evidence does not suggest BRAF mutation as an independent factor in guiding surgical approach, stratifying recurrence risk, or selecting postoperative radioiodine therapy for PTC patients. Although sorafenib and selumetinib have effectively improved the prognosis of patients with radioactive iodine-refractory PTC, such efficacy is independent of BRAF mutation status

     

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