Ochiai Atsushi
Pathology Division, Research Center for Innovative Oncology, National Cancer Center Hospital East.
Gan To Kagaku Ryoho. 2011 May;38(5):709-14.
The individualized-therapy for the gastrointestinal tract cancer is started by the emergence of molecular targeted-therapy. The patients' selection for treatment is now performed by evaluating the expression level of the targeted molecules and/or the gene mutation analysis using the pathological specimens. Pathologists should make diagnosis and select patients for the fittest molecular targeted therapy in colon cancer, stomach cancer and gastrointestinal stromal tumor(GIST). In the present paper, we focused and discussed the points of the evaluation of the targeted-molecule in pathological materials for selecting patients using the examples of HER2 test in gastric cancer and K-RAS muation in colon cancer.
胃肠道癌的个体化治疗始于分子靶向治疗的出现。目前,通过评估靶向分子的表达水平和/或使用病理标本进行基因突变分析来选择治疗患者。病理学家应进行诊断,并为结肠癌、胃癌和胃肠道间质瘤(GIST)患者选择最适合的分子靶向治疗。在本文中,我们以胃癌中的HER2检测和结肠癌中的K-RAS突变为例,重点讨论了在病理材料中评估靶向分子以选择患者的要点。