University School of Medicine, Nashville,TN, USA.
J Clin Oncol. 2013 Mar 10;31(8):1070-80. doi: 10.1200/JCO.2012.43.3912. Epub 2013 Feb 11.
EGFR-mutant lung cancer was first described as a new clinical entity in 2004. Here, we present an update on new controversies and conclusions regarding the disease.
This article reviews the clinical implications of EGFR mutations in lung cancer with a focus on epidermal growth factor receptor tyrosine kinase inhibitor resistance.
The discovery of EGFR mutations has altered the ways in which we consider and treat non-small-cell lung cancer (NSCLC). Patients whose metastatic tumors harbor EGFR mutations are expected to live longer than 2 years, more than double the previous survival rates for lung cancer.
The information presented in this review can guide practitioners and help them inform their patients about EGFR mutations and their impact on the treatment of NSCLC. Efforts should now concentrate on making EGFR-mutant lung cancer a chronic rather than fatal disease.
EGFR 突变型肺癌于 2004 年首次被描述为一种新的临床实体。在这里,我们对该疾病的新争议和结论进行了更新。
本文回顾了肺癌中 EGFR 突变的临床意义,重点关注表皮生长因子受体酪氨酸激酶抑制剂耐药性。
EGFR 突变的发现改变了我们对非小细胞肺癌(NSCLC)的考虑和治疗方式。转移性肿瘤携带 EGFR 突变的患者预期寿命超过 2 年,比肺癌的先前生存率提高了一倍以上。
本综述中提供的信息可以指导临床医生,并帮助他们向患者告知 EGFR 突变及其对 NSCLC 治疗的影响。现在应集中精力使 EGFR 突变型肺癌成为一种慢性而非致命疾病。