岳东升, 王长利. 非小细胞肺癌辅助靶向治疗进展[J]. 中国肿瘤临床, 2018, 45(23): 1225-1229. DOI: 10.3969/j.issn.1000-8179.2018.23.173
引用本文: 岳东升, 王长利. 非小细胞肺癌辅助靶向治疗进展[J]. 中国肿瘤临床, 2018, 45(23): 1225-1229. DOI: 10.3969/j.issn.1000-8179.2018.23.173
Yue Dongsheng, Wang Changli. Advances in adjuvant targeted therapy for non-small cell lung cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2018, 45(23): 1225-1229. DOI: 10.3969/j.issn.1000-8179.2018.23.173
Citation: Yue Dongsheng, Wang Changli. Advances in adjuvant targeted therapy for non-small cell lung cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2018, 45(23): 1225-1229. DOI: 10.3969/j.issn.1000-8179.2018.23.173

非小细胞肺癌辅助靶向治疗进展

Advances in adjuvant targeted therapy for non-small cell lung cancer

  • 摘要: 目前术后Ⅱ~ⅢA期非小细胞肺癌(non-small cell lung cancer,NSCLC)患者推荐进行术后辅助化疗,但在带来生存获益的同时,化疗毒性难以忽视,寻找新的高效、低毒、个体化治疗方案迫在眉睫。表皮生长因子受体酪氨酸激酶抑制剂(epidermal growth factor receptor tyrosine kinase inhibitor,EGFR-TKI)依靠其高效低毒的特点,目前在晚期非小细胞肺癌得到广泛应用,为了探索更加有效的治疗模式,国内外学者进行了大量的尝试,试图将靶向治疗延伸到术后辅助治疗的范畴。以期真正指导临床实践,使非小细胞肺癌患者术后能够从靶向治疗获益,提高术后生存率。

     

    Abstract: Currently, postoperative adjuvant chemotherapy is recommended for patients with stage Ⅱ-ⅢA non-small cell lung cancer (NSCLC). However, the toxicity of chemotherapy should not be neglected, despite the survival benefits achieved. There is an urgent need for new, effective, individualized treatment regimens with low toxicity. EGFR-TKI is widely used for the treatment of advanced NSCLC because of its high efficiency and low toxicity. To explore more effective treatment methodologies, researchers at home and abroad have made many attempts to extend targeted therapy to the field of postoperative adjuvant therapy. This article reviews the retrospective and prospective clinical studies that have been conducted, analyzes the preponderant population of postoperative adjuvant targeted therapy, and seeks evidence-based medical evidence to guide clinical practice, so that patients with NSCLC can benefit from targeted therapies and improved postoperative survival rates.

     

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