Clinical efficacy of EGFR-TKIs for advanced squamous-cell lung cancer patients with EGFR mutations
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摘要: 目的:探讨表皮生长因子受体酪氨酸激酶抑制剂(epidermal growth factor receptor tyrosine kinase inhibitors,EGFR-TKIs)对具有表皮生长因子受体(epidermal growth factor receptor ,EGFR)突变的晚期肺鳞癌患者临床疗效。方法:回顾性分析首都医科大学附属北京胸科医院2010年1 月至2016年7 月收治的2 317 肺鳞癌患者,筛选出有明确随访记录的7 例确诊具有EGFR 突变的肺鳞癌患者,使用EGFR-TKI 如吉非替尼、厄洛替尼治疗,直至疾病进展(progressive disease ,PD)。 结果:使用EGFR-TKI 治疗后,患者客观缓解率(objectire response rate ,ORR )42.9% ,疾病控制率(disease control rate ,DCR )100%(7/ 7),中位无进展生存期6.1 个月。结论:EGFR-TKI 对EGFR 突变的肺鳞癌患者具有一定临床疗效。但本研究病例数少仅有7 例,亟需更多的病例来进行补充研究及验证上述结论。Abstract: Objective:To investigate the clinical efficacy of epidermal growth factor receptor tyrosine kinase inhibitors (EGFR- TKIs) in the treatment of squamous-cell lung cancer patients with EGFR mutations. Methods:We screened out seven patients who were diag-nosed with EGFR mutations and received EGFR-TKIs, such as gifitinib or erlotinib, from2,317 squamous-cell lung cancer patients treat -ed at the Beijing Chest Hospital from January 2010to July 2016. Results:After using EGFR TKIs, the objective response rate was42. 9%, the disease control rate was 100 % , and the median progression- free survival was6. 1 months.Conclusion: EGFR- TKIs exert a certain clinical curative effect on patients with EGFR mutations in squamous- cell lung cancer. However, given that only seven cases are pre -sented in this research group, more cases are needed for further research to verify the above conclusion.
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