CollabRx Inc., Palo Alto, California, United States of America.
PLoS One. 2012;7(2):e31906. doi: 10.1371/journal.pone.0031906. Epub 2012 Feb 21.
The remarkably heterogeneous nature of lung cancer has become more apparent over the last decade. In general, advanced lung cancer is an aggressive malignancy with a poor prognosis. The discovery of multiple molecular mechanisms underlying the development, progression, and prognosis of lung cancer, however, has created new opportunities for targeted therapy and improved outcome. In this paper, we define "molecular subtypes" of lung cancer based on specific actionable genetic aberrations. Each subtype is associated with molecular tests that define the subtype and drugs that may potentially treat it. We hope this paper will be a useful guide to clinicians and researchers alike by assisting in therapy decision making and acting as a platform for further study. In this new era of cancer treatment, the 'one-size-fits-all' paradigm is being forcibly pushed aside-allowing for more effective, personalized oncologic care to emerge.
在过去的十年中,肺癌的显著异质性变得更加明显。一般来说,晚期肺癌是一种侵袭性恶性肿瘤,预后不良。然而,随着多个分子机制的发现,这些机制是肺癌发生、发展和预后的基础,为靶向治疗和改善预后创造了新的机会。在本文中,我们根据特定的可操作遗传异常定义了肺癌的“分子亚型”。每个亚型都与分子测试相关联,这些测试定义了亚型和可能治疗它的药物。我们希望本文能够成为临床医生和研究人员的有用指南,通过帮助做出治疗决策,并作为进一步研究的平台。在癌症治疗的新时代,“一刀切”的模式正在被强行摒弃,从而出现了更有效、更个性化的肿瘤治疗方法。
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