小细胞肺癌多学科治疗进展

Advances in multidisciplinary treatment of small cell lung cancer

  • 摘要: 小细胞肺癌(small cell lung cancer,SCLC)恶性程度高、侵袭性强,治疗效果欠佳,预后差。通过多学科团队(multidisciplinary team,MDT)诊疗模式,制定个性化、多学科、综合治疗方案可有效提高SCLC患者的生存,改善患者生存质量。手术在极早期SCLC患者具有重要价值,局限期SCLC同步放化疗是基石治疗,免疫维持能进一步提高生存。免疫联合化疗在广泛期SCLC获得显著突破。随着放疗技术的进步和新的药物研发,新的放疗策略和药物治疗方案仍在不断探索和优化,在持续进步的同时也遗留许多问题和挑战。本文旨在全面梳理SCLC多学科治疗进展及策略。

     

    Abstract: Small cell lung cancer (SCLC) is characterized by high malignancy and invasiveness. It is difficult to treat and has poor prognosis. The development of personalized and comprehensive treatment strategies through a multidisciplinary team (MDT) can effectively improve the survival and quality of life of patients with SCLC. Surgery is of great value in patients with early stage. Concurrent chemoradiotherapy is the cornerstone treatment for limited-stage SCLC, and immune consolidation can further improve the survival. Immunotherapy combined with chemotherapy has led to significant breakthroughs in the treatment of extensive-stage SCLC. With the advancement of radiotherapy technology and the development of antineoplastic agents, novel radiotherapy strategies and drug treatment schemes are being explored and optimized. Notably, several problems and challenges still remain. This article aimed to review the progress and strategies for the multidisciplinary treatment of SCLC.

     

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