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中华普通外科学文献(电子版) ›› 2026, Vol. 20 ›› Issue (03) : 179 -186. doi: 10.3877/cma.j.issn.1674-0793.2026.03.007

综述

胰腺癌生存期提升的破局点:从基础研究到临床实践的转化困境
冉苏叶1,2, 喻超1,3, 孙诚谊1,()   
  1. 1 550004 贵阳,贵州医科大学附属医院肝胆外科
    2 550004 贵阳,贵州医科大学基础医学院
    3 550004 贵阳,贵州省肝胆胰脾疾病研究所
  • 收稿日期:2025-10-25 出版日期:2026-06-01
  • 通信作者: 孙诚谊
  • 基金资助:
    国家自然科学基金资助项目(82372795)

Breakpoints for improving survival in pancreatic cancer: transformation dilemma from basic research to clinical practice

Suye Ran1,2, Chao Yu1,3, Chengyi Sun1,()   

  1. 1 Department of Hepatobiliary Surgery, the Affiliated Hospital of Guizhou Medical University, Guiyang 550004, China
    2 School of Basic Medical Sciences, Guizhou Medical University, Guiyang 550004, China
    3 Guizhou Institute of Hepatobiliary, Pancreatic and Spleen Diseases, Guiyang 550004, China
  • Received:2025-10-25 Published:2026-06-01
  • Corresponding author: Chengyi Sun
引用本文:

冉苏叶, 喻超, 孙诚谊. 胰腺癌生存期提升的破局点:从基础研究到临床实践的转化困境[J/OL]. 中华普通外科学文献(电子版), 2026, 20(03): 179-186.

Suye Ran, Chao Yu, Chengyi Sun. Breakpoints for improving survival in pancreatic cancer: transformation dilemma from basic research to clinical practice[J/OL]. Chinese Archives of General Surgery(Electronic Edition), 2026, 20(03): 179-186.

受早期诊断率低、药物治疗反应差及肿瘤耐药等影响,针对胰腺癌的基础创新疗法从试验到广泛临床应用仍面临诸多障碍。本文系统阐述了胰腺癌分子分型、肿瘤微环境、临床前模型、诊断早筛、治疗策略及研究转化等多个层面的关键困境,并提出潜在的破局方向:早期筛查并提高诊断效率;依据患者基因分型制定个性化的治疗方案;构建更加接近肿瘤本身的临床前研究模型;优化多模式治疗策略;提升从基础研究到临床转化的效率。其中,早期筛查诊断的滞后与个性化治疗精准度的不足是当前破局的核心点。推动“模型系统、诊断工具、治疗策略、临床试验设计”4大维度的协同创新,可为延长胰腺癌患者的生存期带来希望。

Pancreatic cancer presents significant challenges due to low early diagnosis rates, ineffective drug treatments, and drug resistance, innovative foundational therapies for pancreatic cancer still face numerous obstacles in transitioning from trials to widespread clinical application. This article systematically outlines the key challenges across multiple dimensions, including molecular subtypes of pancreatic cancer, tumor microenvironment, preclinical models, early detection, treatment strategies, and research translation. It proposes potential breakthrough directions: early screening and improved diagnostic efficiency; personalized treatment plans based on genetic profiling of patients; development of more relevant preclinical research models; optimization of multimodal treatment strategies; and enhanced efficiency in translating basic research to clinical applications. Among these areas, the lag in early screening along with insufficient precision in personalized treatment, represent the core focal points for current breakthroughs. Promoting collaborative innovation across four key dimensions of “model systems, diagnostic tools, treatment strategies, and clinical trial design”, can bring hope for prolonging the survival of patients with pancreatic cancer.

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