Lakomý R, Burkon P, Burkonová D, Jancálek R
Lékarská fakulta, Masarykova univerzita Brno.
Klin Onkol. 2010;23(6):381-7.
Glioblastoma multiforme is one of the most aggressive malignant brain tumours with limited therapeutics options. Standard therapy is maximal surgical resection and adjuvant concurrent chemo-radiotherapy and maintenance therapy with temozolomide. This approach improves median and 5-year survival in comparison with postsurgical radiotherapy alone. Additional predictive and prognostic biomarkers are necessary, especially due to the development of targeted therapy--antibodies and tyrosine kinase inhibitors. These new therapeutic approaches are under intensive investigation. The most promising data currently available are for anti-angiogenic therapies, such as bevacizumab and cediranib. This review presents a summary of the possible role of targeted therapy in the treatment of glioblastoma multiforme.
多形性胶质母细胞瘤是最具侵袭性的恶性脑肿瘤之一,治疗选择有限。标准治疗方法是最大程度的手术切除,辅助同步放化疗以及替莫唑胺维持治疗。与单纯术后放疗相比,这种方法可提高中位生存期和5年生存率。尤其是由于靶向治疗(抗体和酪氨酸激酶抑制剂)的发展,需要更多的预测性和预后生物标志物。这些新的治疗方法正在深入研究中。目前最有前景的数据是关于抗血管生成疗法,如贝伐单抗和西地尼布。本综述总结了靶向治疗在多形性胶质母细胞瘤治疗中的可能作用。