2025年度我国脑胶质瘤领域研究进展

Annual Research Progress of Glioma in China in 2025

  • 摘要: 脑胶质瘤是中枢神经系统最常见的原发性恶性肿瘤,其中胶质母细胞瘤(glioblastoma,GBM)为其恶性程度最高的亚型,患者中位生存期不足2年。昂贵的治疗费用及极差的预后,给患者及其家庭乃至社会带来了沉重负担。在过去近20年,除肿瘤电场治疗(tumor treating fields,TTF)获得国际认可外,脑胶质瘤的整体治疗至今尚未取得根本性突破。鉴于脑胶质瘤在不同人群中的发病机制及治疗反应存在差异,系统梳理我国学者在脑胶质瘤领域的研究进展,有助于获得更贴近中国人群实际的临床与转化数据,从而制订更具针对性的诊疗策略。本文对2025年度我国学者在脑胶质瘤领域的研究进展进行综述,内容涵盖整合诊治指南、发生机制、影像学研究及新型诊断技术、传统综合治疗策略、免疫治疗、靶向治疗及临床试验等方面,以期为临床工作者提供研究思路与诊疗参考。

     

    Abstract: Gliomas are the most common primary malignant tumors of the central nervous system, and glioblastoma (GBM) represents the most aggressive subtype, with a median overall survival of less than two years. The combination of high treatment costs and dismal prognosis imposes a substantial burden on patients, their families and society at large. Over the past two decades, apart from the international recognition of tumor treating fields (TTF), there have been no fundamental breakthroughs in the overall therapeutic landscape for glioma. Given that the pathogenesis and treatment response of glioma vary across populations, systematically focusing on research advances made by investigators in China may help generate clinical and translational data that more accurately reflect the characteristics of Chinese patients, thereby informing the development of more tailored treatment strategies. In this review, we summarize recent representative studies on glioma in 2025, with a particular focus on work led by investigators in China, covering integrated diagnostic and therapeutic guidelines, disease mechanisms, imaging and emerging diagnostic technologies, conventional multimodal treatment strategies, immunotherapy, targeted therapy and clinical trials, with the aim of providing clinicians with conceptual frameworks for research and practical insights for patient management.

     

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