我们研究的目的是回顾颌骨良性肿瘤靶向治疗的当前概念。良性牙源性和颌面部骨肿瘤通常需要根治性手术,随之而来的发病率影响患者术后生活质量。目前,靶向治疗和新的非手术治疗正在探索管理不可切除的肿瘤,目的是避免手术或最小化手术范围。然而,关于颌骨良性肿瘤靶向治疗的临床应用数据仍然很少。因此,进行了文献综述,基于PubMed数据库,其中包括体内人体临床研究,描述了靶向治疗颌骨良性肿瘤的临床应用。该综述评估了BRAF和MEK抑制剂治疗成釉细胞瘤的结果。RANKL单克隆抗体治疗巨细胞瘤,天使主义,动脉瘤样骨囊肿,和纤维发育不良,和酪氨酸激酶抑制剂,用于治疗牙源性粘液瘤和胆管癌。靶向治疗减少肿瘤大小,减缓肿瘤进展,减少骨骼疼痛。手术仍然是黄金标准,但靶向治疗是减少肿瘤进展和肿瘤手术发病率的有前景的辅助或替代治疗方案.
The aim of our study was to
review current concepts in targeted therapies for benign tumors of the jaw. Benign odontogenic and maxillofacial bone tumors often require radical surgery, with consequent morbidity that impacts patients\' postsurgical quality of life. Currently, targeted therapies and novel nonsurgical therapeutics are being explored for management of non-resectable tumors, with the aim of avoiding surgery or minimizing surgical scope. However, data on clinical applications of targeted therapies for benign tumors of the jaw remain sparse. Therefore, a literature
review was conducted, based on the PubMed database, which included in vivo human clinical studies describing clinical application of targeted therapy for benign tumor of the jaw. The
review assessed the outcomes of BRAF and MEK inhibitors for treatment of ameloblastoma, RANKL monoclonal antibody for treatment of giant cell tumor, cherubism, aneurysmal bone cyst, and fibrous dysplasia, and tyrosine kinase inhibitor for treatment of odontogenic myxoma and cherubism. Targeted therapies decreased tumor size, slowed down tumor progression, and reduced bone pain. Surgery remains the gold standard, but targeted therapies are promising adjuvant or alternative treatment options for reducing tumor progression and morbidity of tumor surgery.