首页|液体活检在多发性骨髓瘤中的应用研究进展

液体活检在多发性骨髓瘤中的应用研究进展

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多发性骨髓瘤(multiple myeloma,MM)是发病率居第2位的血液系统肿瘤,约占血液系统恶性肿瘤的10%.MM的特征是骨髓中肿瘤斑片状浸润,偶有髓外播散,即单个部位收集的骨髓抽吸物通常不能检测到全面的肿瘤遗传谱,且无法重复抽吸骨髓.液体活检(liquid biopsy,LB)具有非侵入、动态、可重复、风险低等特点,在肿瘤诊断、进展、治疗、预后评估等方面显示出较好的临床应用前景.目前MM的检测多采用骨髓穿刺涂片等,会对患者造成一定程度的创伤且无法动态监测患者对药物的疗效,具有一定的局限性.本综述对LB在MM的诊断、治疗、预后评估等方面的应用进行阐述.
Research progress of liquid biopsy in multiple myeloma
Multiple myeloma(MM)is the second most common hematological malignancy,accounting for about 10%of hematological malignancies.The characteristic of MM is a patchy tumor infiltration pattern in the bone marrow,with occasional extramedullary dissemination.In other words,bone marrow aspirates collected from a single site usually cannot provide a comprehensive genetic profile of the tumor,and bone marrow cannot be repeatedly aspirated.Liquid biopsy(LB)has the characteristics of being non-invasive,dynamic,repeatable,and low-risk,and it has excellent clinical application prospects in tumor diagnosis,progression,treatment efficacy,prognosis,and other aspects.At present,the detection of multiple myeloma mostly uses bone marrow aspiration smear,which will cause trauma to patients and cannot dynamically monitor the efficacy of drugs in patients and has certain limitations.This article elaborates on the application of LB in the diagnosis,treatment,and prognosis evaluation of MM.

liquid biopsymultiple myelomaresearch progress

王珊珊、段衍超

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山东第一医科大学(山东省医学科学院)研究生部,山东 济南 250117

山东第一医科大学第二附属医院血液内科,山东 泰安 271000

液体活检 多发性骨髓瘤 研究进展

山东省医药卫生科技发展计划山东省中医药科技项目泰安市科技发展计划

2019WS4012020M0672019NS117

2024

山东第一医科大学(山东省医学科学院)学报
泰山医学院

山东第一医科大学(山东省医学科学院)学报

影响因子:0.6
ISSN:2097-0005
年,卷(期):2024.45(4)
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