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肺癌的个体化治疗。

Tailored therapy in lung cancer.

出版信息

Can Respir J. 2013 Sep-Oct;20(5):367-8. doi: 10.1155/2013/506383.

DOI:10.1155/2013/506383
PMID:24093116
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3810048/
Abstract

Historically, all non-small cell lung cancers were essentially grouped together and considered to be a single disease. However, it is now recognized that non-small cell lung cancer actually comprises a genetically diverse group of tumours. This, in turn, affords a new opportunity for the development of effective treatments tailored to individual tumours and patients. Advances in molecular biology have made possible the development of drugs against specific molecular targets on cancer cells, most notably the tyrosine kinase inhibitors. The relevant literature and current practice guidelines are discussed. In addition, other related areas of active investigation, including tumour vaccines and pharmacogenetics, are briefly reviewed.

摘要

从历史上看,所有非小细胞肺癌基本上都被归为一组,被视为一种单一疾病。然而,现在人们已经认识到,非小细胞肺癌实际上包含了一组具有遗传多样性的肿瘤。这反过来又为开发针对个体肿瘤和患者的有效治疗方法提供了新的机会。分子生物学的进步使得针对癌细胞上特定分子靶点的药物的开发成为可能,其中最著名的是酪氨酸激酶抑制剂。讨论了相关的文献和当前的实践指南。此外,还简要回顾了其他相关的研究领域,包括肿瘤疫苗和药物遗传学。

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本文引用的文献

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Erlotinib versus docetaxel as second-line treatment of patients with advanced non-small-cell lung cancer and wild-type EGFR tumours (TAILOR): a randomised controlled trial.厄洛替尼对比多西他赛作为晚期非小细胞肺癌且 EGFR 野生型患者二线治疗选择(TAILOR):一项随机对照试验。
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Crizotinib versus chemotherapy in advanced ALK-positive lung cancer.克唑替尼与化疗用于治疗晚期 ALK 阳性肺癌。
N Engl J Med. 2013 Jun 20;368(25):2385-94. doi: 10.1056/NEJMoa1214886. Epub 2013 Jun 1.
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Molecular testing guideline for selection of lung cancer patients for EGFR and ALK tyrosine kinase inhibitors: guideline from the College of American Pathologists, International Association for the Study of Lung Cancer, and Association for Molecular Pathology.美国病理学家学会、国际肺癌研究协会和分子病理学会选择表皮生长因子受体和间变性淋巴瘤激酶酪氨酸激酶抑制剂的肺癌患者分子检测指南。
J Thorac Oncol. 2013 Jul;8(7):823-59. doi: 10.1097/JTO.0b013e318290868f.
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Metastatic non-small-cell lung cancer (NSCLC): ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up.转移性非小细胞肺癌(NSCLC):ESMO诊断、治疗及随访临床实践指南
Ann Oncol. 2012 Oct;23 Suppl 7:vii56-64. doi: 10.1093/annonc/mds226.
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Personalized therapy for non-small cell lung cancer: which drug for which patient?非小细胞肺癌的个体化治疗:哪种药物适合哪种患者?
Semin Thorac Cardiovasc Surg. 2011 Winter;23(4):281-90. doi: 10.1053/j.semtcvs.2012.01.001.
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First-SIGNAL: first-line single-agent iressa versus gemcitabine and cisplatin trial in never-smokers with adenocarcinoma of the lung.First-SIGNAL:一线单药易瑞沙对比吉西他滨和顺铂治疗从不吸烟肺腺癌的临床试验。
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Erlotinib versus standard chemotherapy as first-line treatment for European patients with advanced EGFR mutation-positive non-small-cell lung cancer (EURTAC): a multicentre, open-label, randomised phase 3 trial.厄洛替尼对比标准化疗用于治疗欧洲晚期 EGFR 突变阳性非小细胞肺癌患者的一线治疗(EURTAC):一项多中心、开放标签、随机、3 期临床试验。
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8
Effect of crizotinib on overall survival in patients with advanced non-small-cell lung cancer harbouring ALK gene rearrangement: a retrospective analysis.克唑替尼治疗携带 ALK 基因重排的晚期非小细胞肺癌患者的总生存影响:一项回顾性分析。
Lancet Oncol. 2011 Oct;12(11):1004-12. doi: 10.1016/S1470-2045(11)70232-7. Epub 2011 Sep 18.
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Personalized medicine in lung cancer: what we need to know.肺癌个体化医学:我们需要了解的内容。
Nat Rev Clin Oncol. 2011 Aug 23;8(11):661-8. doi: 10.1038/nrclinonc.2011.126.
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Novel therapeutic targets in non-small cell lung cancer.非小细胞肺癌的新型治疗靶点。
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