Milanowski Janusz, Szmygin-Milanowska Katarzyna
Katedra i Klinika Pneumonologii, Onkologii i Alergologii Uniwersytetu Medycznego w Lublinie.
Pneumonol Alergol Pol. 2013;81(1):55-60.
Lung cancer is the most common cancer in Poland and in the world, unfortunately diagnosed too late, and combined with a very poor prognosis. For most patients with NSCLC the only possibility of treatment is palliative therapy, including chemotherapy and, in the recent years, molecular targeted therapy. In first-line treatment, cisplatine-based "doublets" are most effective, and in second-line, pemetreksed and docetaxel are used. Recently, maintenance chemotherapy has been introduced. Although standard chemotherapy improves the quality of life in the patients with advanced NSCLC, due to significant toxicity such treatment should be applied only in patients in good performance status. The introduction of targeted therapy, based on the molecular profile of the patient has allowed the management to be personalized, which may result in more effective treatment and may be safer for the patient.
肺癌是波兰和全球最常见的癌症,不幸的是往往确诊过晚,且预后很差。对于大多数非小细胞肺癌患者而言,唯一的治疗选择是姑息治疗,包括化疗,以及近年来的分子靶向治疗。一线治疗中,以顺铂为基础的“双联疗法”最为有效,二线治疗则使用培美曲塞和多西他赛。最近引入了维持化疗。尽管标准化疗可改善晚期非小细胞肺癌患者的生活质量,但由于毒性较大,这种治疗仅应适用于身体状况良好的患者。基于患者分子特征的靶向治疗的引入,使得治疗能够个性化,这可能带来更有效的治疗效果,且对患者而言可能更安全。