中国药物警戒 ›› 2026, Vol. 23 ›› Issue (2): 229-234.
DOI: 10.19803/j.1672-8629.20250786

• 综述 • 上一篇    下一篇

乳腺癌软脑膜转移药物研究进展

叶玲1, 徐蕊1, 阮聪1, 钱佳佳1, 胡伟琼1, 王祺茹1, 刘继勇1,2,3#, 李纲4,*   

  1. 1复旦大学附属肿瘤医院闵行院区药剂科,上海 200240;
    2复旦大学附属肿瘤医院药剂科,上海 200032;
    3复旦大学上海医学院肿瘤学系,上海 200032;
    4复旦大学附属肿瘤医院闵行院区肿瘤内科,上海 200240
  • 收稿日期:2025-11-10 出版日期:2026-02-15 发布日期:2026-02-13
  • 通讯作者: *李纲,女,本科,主任医师,肿瘤学。E-mail: ligang_0113@163.com; #为共同通信作者。
  • 作者简介:叶玲,女,硕士,主管药师,肿瘤药物研究。
  • 基金资助:
    上海市闵行区卫健委课题(2023MW35); 上海市闵行区卫健委课题(2022MW02)

Advances in Medications for Breast Cancer Leptomeningeal Metastases

YE Ling1, XU Rui1, RUAN Cong1, QIAN Jiajia1, HU Weiqiong1, WANG Qiru1, LIU Jiyong1,2,3#, LI Gang4,*   

  1. 1Department of Pharmacy, Fudan University Shanghai Cancer Center, Minhang, Shanghai 200240, China;
    2Department of Pharmacy, Fudan University Shanghai Cancer Center, Shanghai 200032, China;
    3Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China;
    4Department of Oncology, Fudan University Shanghai Cancer Center, Minhang, Shanghai 200240, China
  • Received:2025-11-10 Online:2026-02-15 Published:2026-02-13

摘要: 目的 通过总结乳腺癌软脑膜转移(BCLM)在精准检测、生物标志物及治疗策略的最新研究进展,为BCLM患者的临床疗效和改善预后提供参考。方法 围绕BCLM的分子诊断技术、预后生物标志物以及治疗策略展开研究,剖析BCLM的发生机制,分析当前诊断手段和治疗策略所面临的现存挑战。结果 基于新型检测技术的进步,生物标志物指导下的个体化治疗策略展现出显著应用潜力;新型靶向药物与递送技术为改善患者预后提供新的治疗机遇。结论 BCLM的临床管理应整合精准检测、生物标志物引导及多模式治疗策略,未来需进一步开展高质量临床研究以优化治疗体系,并提升患者生存期。

关键词: 乳腺癌, 软脑膜转移, 诊断技术, 生物标志物, 治疗药物

Abstract: Objective To summarize the latest research advances in precision detection, biomarkers, and treatment strategies for breast cancer leptomeningeal metastasis (BCLM) in order to provide references for improving the clinical efficacy and prognosis of patients. Methods An in-depth analysis of the mechanisms underlying BCLM was conducted based on the molecular diagnostic techniques, prognostic biomarkers, as well as therapeutic strategies. Current challenges to diagnostic approaches and treatment strategies were also studied. Results Based on advancements in novel detection technologies, individualized treatment strategies guided by biomarkers promised wide applications. Furthermore, new targeted drugs and delivery technologies offered more opportunities to improve patients’ prognosis. Conclusion The clinical management of BCLM should integrate precision testing, biomarker-guided approaches, and multimodal treatment strategies. High-quality clinical studies are essential to optimizing therapeutic frameworks and prolonging patients’ survival.

Key words: Breast Cancer, Leptomeningeal Metastasis, Diagnostic Techniques, Biomarkers, Therapeutic Drugs

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