局部晚期非小细胞肺癌的分子靶向治疗。
Molecularly targeted therapies in locally advanced non-small-cell lung cancer.
机构信息
Department of Internal Medicine, St. Luke's Hospital, Chesterfield, MO, USA.
出版信息
Clin Lung Cancer. 2013 Sep;14(5):467-72. doi: 10.1016/j.cllc.2013.03.005. Epub 2013 May 14.
Approximately a third of the patients with non-small cell lung cancer (NSCLC) present with locally advanced disease not amenable to curative resection. Concurrent chemoradiation is currently the treatment of choice for these patients. Outcomes in patients with locally advanced NSCLC treated with concurrent chemoradiation are modest at best. No significant progress has been made over the past decade in this subset of patients with NSCLC. Several trials have examined the role of molecular targeted therapies in this setting. We review the results of these trials and present the outline of a proposed prospective clinical trial to evaluate targeted drugs in molecularly selected group of patients with locally advanced NSCLC.
大约三分之一的非小细胞肺癌 (NSCLC) 患者患有无法进行根治性切除的局部晚期疾病。目前,同步放化疗是这些患者的治疗选择。接受同步放化疗的局部晚期 NSCLC 患者的预后充其量只是一般。在过去的十年中,这部分 NSCLC 患者并没有取得显著进展。几项试验已经研究了分子靶向治疗在这种情况下的作用。我们回顾了这些试验的结果,并提出了一项拟议的前瞻性临床试验的概要,以评估局部晚期 NSCLC 中分子选择患者群体的靶向药物。