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子宫内膜癌的个体化治疗:挑战与机遇。

Personalized therapy in endometrial cancer: challenges and opportunities.

机构信息

Department of Gynecologic Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, USA.

出版信息

Cancer Biol Ther. 2012 Jan 1;13(1):1-13. doi: 10.4161/cbt.13.1.18438.

DOI:10.4161/cbt.13.1.18438
PMID:22198566
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3335980/
Abstract

Early stage endometrial cancer is generally curable. However, progress in the treatment of advanced and recurrent endometrial cancer has been limited. This has led to a shift from the use of traditional chemotherapeutic agents and radiotherapy regimens to the promising area of targeted therapy, given the large number of druggable molecular alterations found in endometrial cancer. To maximize the effects of directed targeted therapy, careful molecular characterization of the endometrial tumor is necessary. This represents an important difference in the use of targeted therapy vs. traditional chemotherapy or radiation treatment. This review will discuss relevant pathways to target in endometrial cancer as well as the challenges that arise during development of a personalized oncology approach.

摘要

早期子宫内膜癌通常是可治愈的。然而,晚期和复发性子宫内膜癌的治疗进展有限。鉴于在子宫内膜癌中发现了大量可用药的分子改变,这促使人们从传统的化疗药物和放疗方案转向有前途的靶向治疗领域。为了最大限度地提高靶向治疗的效果,有必要对子宫内膜肿瘤进行仔细的分子特征分析。这是靶向治疗与传统化疗或放疗相比的一个重要区别。本文将讨论在子宫内膜癌中靶向相关途径以及在制定个性化肿瘤学方法时出现的挑战。

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本文引用的文献

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Phase II study of everolimus and letrozole in patients with recurrent endometrial carcinoma.依维莫司和来曲唑治疗复发性子宫内膜癌的 II 期研究。
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Clinical responses to selumetinib (AZD6244; ARRY-142886)-based combination therapy stratified by gene mutations in patients with metastatic melanoma.基于基因突变为转移性黑色素瘤患者分层的 Selumetinib(AZD6244;ARY-142886)联合治疗的临床反应。
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Cancer statistics, 2011: the impact of eliminating socioeconomic and racial disparities on premature cancer deaths.癌症统计数据,2011 年:消除社会经济和种族差异对癌症过早死亡的影响。
CA Cancer J Clin. 2011 Jul-Aug;61(4):212-36. doi: 10.3322/caac.20121. Epub 2011 Jun 17.
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Fibroblast growth factor receptors are components of autocrine signaling networks in head and neck squamous cell carcinoma cells.成纤维细胞生长因子受体是头颈部鳞状细胞癌细胞自分泌信号网络的组成部分。
Clin Cancer Res. 2011 Aug 1;17(15):5016-25. doi: 10.1158/1078-0432.CCR-11-0050. Epub 2011 Jun 14.
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Present and future of PI3K pathway inhibition in cancer: perspectives and limitations.PI3K 通路抑制在癌症中的现状和未来:前景与局限。
Curr Med Chem. 2011;18(18):2674-85. doi: 10.2174/092986711796011193.
7
Metformin as an antitumor agent in cancer prevention and treatment.二甲双胍作为一种抗肿瘤药物在癌症的预防和治疗中的应用。
J Diabetes. 2011 Dec;3(4):320-7. doi: 10.1111/j.1753-0407.2011.00119.x.
8
Overcoming resistance: targeting the PI3K/mTOR pathway in endocrine refractory breast cancer.克服耐药性:靶向内分泌难治性乳腺癌中的PI3K/mTOR通路
Cancer Biol Ther. 2011 Jun 1;11(11):947-9. doi: 10.4161/cbt.11.11.15953.
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Molecular characteristics predict clinical outcomes: prospective trial correlating response to the EGFR tyrosine kinase inhibitor gefitinib with the presence of sensitizing mutations in the tyrosine binding domain of the EGFR gene.分子特征可预测临床结局:前瞻性试验将表皮生长因子受体酪氨酸激酶抑制剂吉非替尼的反应与 EGFR 基因酪氨酸结合域的敏化突变的存在相关联。
Clin Cancer Res. 2011 May 15;17(10):3500-6. doi: 10.1158/1078-0432.CCR-10-2102. Epub 2011 May 10.
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Phase II trial of bevacizumab in recurrent or persistent endometrial cancer: a Gynecologic Oncology Group study.贝伐珠单抗治疗复发性或持续性子宫内膜癌的 II 期临床试验:一项妇科肿瘤学组研究。
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