1.84 سم مكعب

الابتكارات في علاج السرطان

المتحدث: الدكتور جي في ناجارجونا ريدي

Head & Neck Oncosurgeon, MAA ENT Hospitals, Hyderabad.

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وصف

أحدثت الابتكارات في علاج السرطان ثورةً في هذا المجال، إذ وفرت خياراتٍ أكثر دقةً وفعاليةً وأقل تدخلاً جراحياً. يُعزز العلاج المناعي، بما في ذلك مثبطات نقاط التفتيش وعلاج الخلايا التائية المُستقبِلة للخلايا الخيمرية (CAR-T cells)، مناعة الجسم الطبيعية ضد السرطان. تُركز العلاجات المُستهدفة على طفرات جينية مُحددة، مما يُقلل من الآثار الجانبية مُقارنةً بالعلاجات التقليدية. يُصمم الطب الشخصي علاجاتٍ مُخصصة بناءً على الملف الجيني للمريض، مما يُحسّن النتائج. تُتيح التطورات في العلاج الإشعاعي الآن دقةً أعلى مع أقل ضررٍ للأنسجة السليمة. إضافةً إلى ذلك، تُسرّع تقنية النانو واكتشاف الأدوية المُعتمد على الذكاء الاصطناعي من تطوير علاجاتٍ جديدةٍ للسرطان، مما يُمهد الطريق لرعايةٍ أكثر فعاليةً وتركيزاً على المريض.

ملخص

  • Cancer incidence is on the rise globally, especially in developing countries like India, necessitating increased awareness and advancements in treatment. The theme for World Cancer Day (2025-2027) is "United by Uni", emphasizing collaborative efforts in cancer care.
  • Cutting-edge therapies in oncology include immunotherapy, particularly CAR T-cell therapy, where a patient's T-cells are modified to target cancer cells. While promising, CAR T-cell therapy currently has limited applications and is available in specialized centers. Immune checkpoint inhibitors are another advancement, blocking checkpoints in cancer cells to halt division and promote cell death.
  • Precision medicine and targeted therapies focus on personalized treatment based on an individual's genetic makeup and disease characteristics. Personalized cancer vaccines, though still in clinical trials, aim to target specific genomic defects in cancer cells. Artificial intelligence (AI) is being utilized in oncology to aid in diagnosis, treatment planning, and predicting cancer incidence.
  • Innovations in radiation therapy include intensity-modulated radiation therapy (IMRT), volumetric arc therapy (V-MAT), and stereotactic body radiation therapy (SBRT), which offer more precise and targeted radiation delivery. Particle therapy, using proton beams or carbon ions, provides better depth of penetration and less surrounding radiation. Interventional radiology techniques like transarterial chemoembolization (TACE) and thermal ablation are also advancing.
  • Early detection is critical for improving cancer outcomes, and advancements include liquid biopsies, which use blood samples to identify circulating tumor DNA. Multiomics, which integrates genomics, transcriptomics, proteomics, and metabolomics, is also playing a key role in early cancer detection and understanding.
  • Empowering patients through education and awareness is essential, particularly in countries like India where patient awareness may be limited. Cancer survivorship, which focuses on improving quality of life after treatment, is an increasingly important aspect of cancer care. This involves addressing physical, psychological, and social challenges faced by cancer survivors.

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