Tazi Youssef, Pautier Patricia, Lhommé Catherine
Institut Gustave-Roussy, département de médecine, comité de gynécologie, Villejuif, France.
Bull Cancer. 2012 Jan;99(1):93-7. doi: 10.1684/bdc.2011.1523.
Endometrial cancer has generally a good prognosis when it is diagnosed at an early stage but remains incurable at an advanced stage (recurrent or metastatic) with only few therapeutic options. Hormone therapy is the treatment of choice in case of slowly progressive disease with a tumor expressing hormonal receptors due to its favorable safety profile. Taxanes, anthracyclines and platinum compounds are the most active chemotherapy agents with greater response rates when they are combined at the price of a significant toxicity. Targeted therapies based on a better understanding of tumor biology are being evaluated with some promising results.
子宫内膜癌若在早期被诊断,通常预后良好,但在晚期(复发或转移)时仍无法治愈,治疗选择有限。对于肿瘤表达激素受体的缓慢进展性疾病,激素疗法因其良好的安全性而成为首选治疗方法。紫杉烷类、蒽环类和铂类化合物是最有效的化疗药物,联合使用时缓解率更高,但代价是具有显著毒性。基于对肿瘤生物学更深入理解的靶向治疗正在进行评估,且取得了一些有前景的结果。