Collinson Fiona, Jayson Gordon
University of Leeds, St James' University Hospital, Leeds, UK.
Curr Opin Obstet Gynecol. 2009 Feb;21(1):44-53. doi: 10.1097/GCO.0b013e32831ffe71.
Despite advances in management over recent years, epithelial ovarian cancer remains the most lethal gynaecological malignancy. Methods of early detection, as well as improved therapeutic options, are urgently needed.
Currently, a number of targeted therapies, including vascular endothelial growth factor inhibitors, poly-ADP-ribose polymerase inhibitors and folate receptor inhibitors look promising in this arena and this article will review a number of these drugs and the evidence pertaining to their use.
Much further research is required to define if, when and how best to integrate these novel therapies, and also to define associated biomarkers that predict toxicity and select patients most likely to derive benefit. Individualized therapy is not an impossible dream, but there is still a long way to go.
尽管近年来在治疗方面取得了进展,但上皮性卵巢癌仍然是最致命的妇科恶性肿瘤。迫切需要早期检测方法以及改进的治疗选择。
目前,一些靶向治疗药物,包括血管内皮生长因子抑制剂、聚ADP核糖聚合酶抑制剂和叶酸受体抑制剂,在这一领域看起来很有前景,本文将综述其中一些药物及其使用证据。
需要进行更多的研究来确定是否、何时以及如何最好地整合这些新疗法,同时确定预测毒性并选择最可能从治疗中获益的患者的相关生物标志物。个体化治疗并非遥不可及的梦想,但仍有很长的路要走。