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晚期结肠癌的治疗进展

Evolving treatment of advanced colon cancer.

作者信息

Segal Neil H, Saltz Leonard B

机构信息

Gastrointestinal Oncology Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York 10065, USA.

出版信息

Annu Rev Med. 2009;60:207-19. doi: 10.1146/annurev.med.60.041807.132435.

Abstract

Colorectal cancer is a common malignancy worldwide. Despite significant developments in the treatment of this disease, it still causes considerable morbidity and mortality. Recent advances include both newer cytotoxic chemotherapies and novel biologic agents. Although overall progress has been more modest than had been hoped, substantial benefits have been achieved for some patients, and the number of treatment options has substantially increased. Perhaps most importantly, treatment regimens can now be selected and tailored toward the individual patient following an informed discussion between the patient and the treating oncologist. We present in detail these recent advances and provide some insight into several promising future strategies.

摘要

结直肠癌是全球常见的恶性肿瘤。尽管在该疾病的治疗方面取得了重大进展,但它仍导致相当高的发病率和死亡率。近期进展包括更新的细胞毒性化疗药物和新型生物制剂。虽然总体进展比预期的更为有限,但已使部分患者获得了显著益处,并且治疗选择的数量大幅增加。或许最重要的是,现在在患者与主治肿瘤内科医生进行充分沟通后,可以为个体患者选择并定制治疗方案。我们详细介绍这些近期进展,并对几种有前景的未来策略提供一些见解。

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