Division of Thoracic Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York 10065, USA.
Semin Thorac Cardiovasc Surg. 2009 Winter;21(4):327-38. doi: 10.1053/j.semtcvs.2009.11.002.
Improving existing means of sentinel lymph node identification in non-small cell lung cancer will allow for molecular detection of occult micrometastases that may cause recurrence in early stage non-small cell lung cancer. Furthermore, targeted application of chemical and biological cytotoxic agents can potentially improve outcomes in patients with lymph node (LN) metastases. "Therapeutic Sentinel Lymph Node Imaging" incorporates these modalities into a single agent thereby identifying which LNs harbor tumor cells and simultaneously eradicating metastatic disease. In this review, we summarize the novel preclinical agents for identification and treatment of tumor bearing LNs and discuss their potential for clinical translation.
提高非小细胞肺癌中前哨淋巴结识别的现有方法,将允许对可能导致早期非小细胞肺癌复发的隐匿性微转移进行分子检测。此外,化学和生物细胞毒性药物的靶向应用有可能改善淋巴结转移患者的预后。“治疗性前哨淋巴结成像”将这些方法结合到单一药物中,从而确定哪些淋巴结含有肿瘤细胞,并同时消除转移性疾病。在这篇综述中,我们总结了用于识别和治疗携带肿瘤的淋巴结的新型临床前药物,并讨论了它们转化为临床应用的潜力。