Revisiting the standards of cancer detection and therapy alongside their comparison to modern methods.

Piotr Gromek, Zuzanna Senkowska, Elżbieta Płuciennik, Zbigniew Pasieka, Lin-Yong Zhao, Adrianna Gielecińska, Mateusz Kciuk, Karol Kłosiński, Żaneta Kałuzińska-Kołat, Damian Kołat
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Abstract

In accordance with the World Health Organization data, cancer remains at the forefront of fatal diseases. An upward trend in cancer incidence and mortality has been observed globally, emphasizing that efforts in developing detection and treatment methods should continue. The diagnostic path typically begins with learning the medical history of a patient; this is followed by basic blood tests and imaging tests to indicate where cancer may be located to schedule a needle biopsy. Prompt initiation of diagnosis is crucial since delayed cancer detection entails higher costs of treatment and hospitalization. Thus, there is a need for novel cancer detection methods such as liquid biopsy, elastography, synthetic biosensors, fluorescence imaging, and reflectance confocal microscopy. Conventional therapeutic methods, although still common in clinical practice, pose many limitations and are unsatisfactory. Nowadays, there is a dynamic advancement of clinical research and the development of more precise and effective methods such as oncolytic virotherapy, exosome-based therapy, nanotechnology, dendritic cells, chimeric antigen receptors, immune checkpoint inhibitors, natural product-based therapy, tumor-treating fields, and photodynamic therapy. The present paper compares available data on conventional and modern methods of cancer detection and therapy to facilitate an understanding of this rapidly advancing field and its future directions. As evidenced, modern methods are not without drawbacks; there is still a need to develop new detection strategies and therapeutic approaches to improve sensitivity, specificity, safety, and efficacy. Nevertheless, an appropriate route has been taken, as confirmed by the approval of some modern methods by the Food and Drug Administration.

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重新审视癌症检测和治疗标准,并将其与现代方法进行比较。
根据世界卫生组织的数据,癌症仍然是致死性疾病的首位。据观察,全球癌症发病率和死亡率呈上升趋势,这说明应继续努力开发检测和治疗方法。诊断通常从了解病人的病史开始,然后进行基本的血液化验和影像学检查,以确定癌症的位置,从而安排针刺活检。及时开始诊断至关重要,因为延迟癌症检测会导致更高的治疗和住院费用。因此,需要新型癌症检测方法,如液体活检、弹性成像、合成生物传感器、荧光成像和反射共聚焦显微镜。传统的治疗方法虽然在临床实践中仍很常见,但存在许多局限性,效果并不理想。如今,临床研究不断进步,开发出了更精确、更有效的方法,如溶瘤病毒疗法、外泌体疗法、纳米技术、树突状细胞、嵌合抗原受体、免疫检查点抑制剂、天然产物疗法、肿瘤治疗场和光动力疗法等。本文比较了癌症检测和治疗的传统方法和现代方法的现有数据,以帮助人们了解这一快速发展的领域及其未来方向。事实证明,现代方法并非没有缺点;仍然需要开发新的检测策略和治疗方法,以提高灵敏度、特异性、安全性和有效性。尽管如此,正如食品和药物管理局批准的一些现代方法所证实的那样,我们已经采取了适当的途径。
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