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The Biology of Synovial Sarcoma: State-of-the-Art and Future Perspectives.


ABSTRACT:

Opinion statement

New molecular insights are being achieved in synovial sarcoma (SS) that can provide new potential diagnostic and prognostic markers as well as therapeutic targets. In particular, the advancement of research on epigenomics and gene regulation is promising. The concrete hypothesis that the pathogenesis of SS might mainly depend on the disruption of the balance of the complex interaction between epigenomic regulatory complexes and the consequences on gene expression opens interesting new perspectives. The standard of care for primary SS is wide surgical resection combined with radiation in selected cases. The role of chemotherapy is still under refinement and can be considered in patients at high risk of metastasis or in those with advanced disease. Cytotoxic chemotherapy (anthracyclines, ifosfamide, trabectedin, and pazopanib) is the treatment of choice, despite several possible side effects. Many possible drug-able targets have been identified. However, the impact of these strategies in improving SS outcome is still limited, thus making current and future research strongly needed to improve the survival of patients with SS.

SUBMITTER: Fiore M 

PROVIDER: S-EPMC8541977 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature

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The Biology of Synovial Sarcoma: State-of-the-Art and Future Perspectives.

Fiore Michele M   Sambri Andrea A   Spinnato Paolo P   Zucchini Riccardo R   Giannini Claudio C   Caldari Emilia E   Pirini Maria Giulia MG   De Paolis Massimiliano M  

Current treatment options in oncology 20211023 12


<h4>Opinion statement</h4>New molecular insights are being achieved in synovial sarcoma (SS) that can provide new potential diagnostic and prognostic markers as well as therapeutic targets. In particular, the advancement of research on epigenomics and gene regulation is promising. The concrete hypothesis that the pathogenesis of SS might mainly depend on the disruption of the balance of the complex interaction between epigenomic regulatory complexes and the consequences on gene expression opens  ...[more]

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