Hospital Universitario La Fe, Valencia, Spain.
Clin Transl Oncol. 2010 Feb;12(2):92-9. doi: 10.1007/S12094-010-0475-y.
Non-small-cell lung cancer (NSCLC) ranks among the neoplasms with the worst prognoses and the highest mortality rates. Several factors, mainly clinical, are known that provide a predictive value on the course of the disease. In the era in which we live, the molecular basis of cancer is studied in depth and several molecular markers have been described that could play a prognostic role or that could predict the probability of responding to the different treatments used. Moreover, some mechanisms have been proposed that could explain primary or acquired resistance to treatment with chemotherapy and to targeted therapies. Knowing all these pathways is very important, as it allows the development of selective therapeutic strategies that minimise toxicity and optimise treatment effectiveness. However, the data obtained yield results that are at times contradictory, prospective studies with biomarkers thus being necessary so that their role can be established with the necessary evidence.
非小细胞肺癌(NSCLC)是预后最差和死亡率最高的肿瘤之一。有几个主要是临床的因素,已知对疾病的过程具有预测价值。在我们生活的时代,深入研究了癌症的分子基础,并描述了几种可能具有预后作用或能够预测对不同治疗方法反应概率的分子标志物。此外,还提出了一些机制,可以解释对化疗和靶向治疗的原发性或获得性耐药。了解所有这些途径非常重要,因为它允许开发选择性治疗策略,从而最小化毒性并优化治疗效果。然而,所获得的数据结果有时相互矛盾,因此需要有生物标志物的前瞻性研究,以便用必要的证据确定其作用。