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中国癌症防治杂志 ›› 2025, Vol. 17 ›› Issue (3): 349-357.doi: 10.3969/j.issn.1674-5671.2025.03.13

• 头颈部肿瘤专栏 • 上一篇    下一篇

鼻咽癌标志物临床应用专家共识(2025版)

  

  1. 中国抗癌协会肿瘤标志专业委员会鼻咽癌标志物专家委员会
  • 出版日期:2025-06-25 发布日期:2025-07-10
  • 通讯作者: 肖志强 E-mail:zhiqiangxiao@csu.edu.cn

Expert consensus on the clinical application of nasopharyngeal carcinoma biomarkers (2025 edition)

  • Online:2025-06-25 Published:2025-07-10

摘要: 鼻咽癌 (nasopharyngeal carcinoma,NPC) 是我国高发的头颈部恶性肿瘤,早期诊断困难。2019年,中国抗癌协会肿瘤标志专业委员会鼻咽癌标志物专家委员会组织相关领域专家,撰写了首版《鼻咽癌标志物临床应用专家共识》,为临床实践提供了规范化指导。随着新型标志物研究的快速发展,本专委会在首版共识基础上,结合鼻咽癌标志物研究进展以及鼻咽癌领域专家意见,对共识内容进行了全面修订。本次更新重点补充了新型血清标志物 (P85⁃Ab)、微生物群标志物、免疫微环境标志物的临床应用证据,优化了EB病毒(Epstein⁃Barr virus,EBV)DNA动态监测路径及多标志物联合应用策略。本共识旨在通过系统整合前沿研究成果,进一步提升鼻咽癌筛查、疗效评估和预后判断的精准性。

关键词: 鼻咽癌, 肿瘤标志物, EB病毒, 临床应用, 专家共识

Abstract: Nasopharyngeal carcinoma (NPC) is a highly prevalent head and neck malignancy in China, presenting significant challenges in early diagnosis. In 2019, the Expert Committee of Nasopharyngeal Cancer Biomarker, under the Tumor Biomarker Committee of China Anti⁃Cancer Association, convened a panel of multidisciplinary experts to publish the inaugural edition of the Expert consensus on the clinical application of nasopharyngeal carcinoma biomarkers, providing standardized guidance for clinical practice. With rapid advancements in novel biomarker research, this consensus has been comprehensively revised from the first edition, incorporating the latest research developments in NPC biomarkers and expert recommendations. The updates focus on supplementing clinical application evidence for novel serum biomarkers (P85⁃Ab), microbiome biomarkers, and immune microenvironment biomarkers, as well as optimizing the dynamic monitoring pathway of epstein⁃barr virus DNA and strategies for multi⁃biomarker application. This consensus aims to further enhance the precision of NPC screening, efficacy evaluation, and prognosis prediction through the systematic integration of cutting⁃edge research findings.

Key words: Nasopharyngeal carcinoma; Cancer biomarker; Epstein?Barr virus; Clinical application, Expert consensus

中图分类号: 

  • R739.6