Thalheimer A, Illert B, Reimer P, Bueter M, Thiede A, Gasser M, Fein M, Waaga-Gasser A-M, Meyer D
Chirurgische Klinik und Poliklinik I, Zentrum Operative Medizin der Universitätsklinik Würzburg.
Zentralbl Chir. 2008 Apr;133(2):101-6. doi: 10.1055/s-2008-1004741.
Advances in the medical treatment of colorectal cancer patients have resulted in considerable improvements through the introduction of new cytotoxic drugs. The significant progress in molecular and tumour biology has produced a great number of targeted, tumour-specific, monoclonal antibodies that are now in various stages of clinical development. Two of these antibodies, cetuximab (Erbitux) und bevacizumab (Avastin), directed against the epidermal growth factor receptor (EGFR) and the vascular epithelial growth factor (VEGF), respectively, have recently been approved for use in metastatic colorectal cancer. The combination of well-known and newly developed cytotoxic agents with monoclonal antibodies makes the medical treatment of colorectal cancer patients considerably more complex, but also provides additional therapeutic strategies for patients in advanced stages of disease.
通过引入新的细胞毒性药物,结直肠癌患者的医学治疗取得了显著进展,带来了相当大的改善。分子和肿瘤生物学的重大进展产生了大量靶向、肿瘤特异性的单克隆抗体,这些抗体目前正处于临床开发的各个阶段。其中两种抗体,西妥昔单抗(爱必妥)和贝伐单抗(阿瓦斯汀),分别针对表皮生长因子受体(EGFR)和血管内皮生长因子(VEGF),最近已被批准用于转移性结直肠癌的治疗。将知名的和新开发的细胞毒性药物与单克隆抗体联合使用,使得结直肠癌患者的医学治疗变得更加复杂,但也为疾病晚期的患者提供了额外的治疗策略。