Exosomics integrates digital imaging for head and neck cancer diagnosis

K. N. ArulJothi, A. B. Nidhu, Anand Krishnan
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Abstract

Cancers that can manifest in the oral cavity, nasal cavity, larynx, pharynx, sinuses, and other head and neck areas are collectively called “head and neck cancers” (HNC). HNC can be broadly classified into five types: salivary gland; oral and oropharyngeal; nasal cavity and paranasal sinus; nasopharyngeal, and laryngeal and hypopharyngeal cancers. HNC accounts for one million new diagnoses annually, making it the seventh most common form of the disease globally. Among all HNCs, 90% are head and neck squamous cell carcinoma (HNSCC) which is highly heterogenous, relapsing, and metastatic with poor survival. Despite the availability of new treatments, the five-year survival rate for HNSCC patients has been reported to be approximately 50%. An early diagnosis may increase the disease management and outcomes, but it is challenging to detect smaller-sized lesions and differentiate malignant and non-malignant lesions with the available tools. Current circumstances demand an improvement in existing diagnostic strategies and the advent of novel diagnostic tools.

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Exosomics 将数字成像技术整合到头颈癌诊断中
可发生在口腔、鼻腔、喉、咽、鼻窦和其他头颈部的癌症统称为 "头颈癌"(HNC)。HNC 大致可分为五种类型:唾液腺癌、口腔癌和口咽癌、鼻腔癌和鼻旁窦癌、鼻咽癌以及喉癌和下咽癌。每年新确诊的 HNC 患者达 100 万,是全球第七大常见疾病。在所有 HNC 中,90% 为头颈部鳞状细胞癌(HNSCC),这种癌症具有高度异质性、复发性和转移性,生存率低。尽管有了新的治疗方法,但据报道,HNSCC 患者的五年生存率约为 50%。早期诊断可提高疾病管理水平和治疗效果,但利用现有工具检测较小的病灶并区分恶性和非恶性病灶具有挑战性。目前的情况要求改进现有的诊断策略,并推出新型诊断工具。
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