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浅析晚期结直肠癌的当前治疗策略。

A perspective on the current management of advanced colorectal cancer.

机构信息

Department of Oncology, University & General Hospital, Udine, Italy.

出版信息

Future Oncol. 2013 Nov;9(11):1687-91. doi: 10.2217/fon.13.189.

DOI:10.2217/fon.13.189
PMID:24156327
Abstract

Although the median survival of patients with advanced disease has progressively increased, colorectal cancer remains a major worldwide health problem, with approximately 1 million new cases and 500,000 deaths every year. At the 2013 World Congress on Gastrointestinal Cancers, investigators have recently dealt with many clinically relevant questions, such as the preferred biologic drug to be used upfront in patients with KRAS wild-type colorectal tumors, the optimal treatment intensity, the most suitable maintenance strategy, the need for deeper molecular information when using EGFR inhibitors and the use of antiangiogenic drugs in the elderly. Briefly summarizing all the news coming from this moving landscape, this article focuses on the results of the major randomized Phase III trials presented at the meeting.

摘要

尽管晚期疾病患者的中位生存期逐渐延长,但结直肠癌仍然是一个全球性的主要健康问题,每年约有 100 万新发病例和 50 万例死亡。在 2013 年世界胃肠癌大会上,研究人员最近处理了许多临床相关问题,例如 KRAS 野生型结直肠肿瘤患者首选的生物药物、最佳治疗强度、最适合的维持策略、使用 EGFR 抑制剂时是否需要更深入的分子信息以及在老年人中使用抗血管生成药物。本文简要总结了从这个不断发展的领域中获得的所有消息,重点介绍了会议上提交的主要随机 III 期试验的结果。

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1
A perspective on the current management of advanced colorectal cancer.浅析晚期结直肠癌的当前治疗策略。
Future Oncol. 2013 Nov;9(11):1687-91. doi: 10.2217/fon.13.189.
2
Evidence-based appraisal of the upfront treatment for unresectable metastatic colorectal cancer patients.基于证据的不可切除转移性结直肠癌患者一线治疗的评估。
World J Gastroenterol. 2013 Dec 14;19(46):8474-88. doi: 10.3748/wjg.v19.i46.8474.
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Monoclonal antibodies in the treatment of metastatic colorectal cancer: a review.单克隆抗体在转移性结直肠癌治疗中的应用:综述。
Clin Ther. 2010 Mar;32(3):437-53. doi: 10.1016/j.clinthera.2010.03.012.
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EGFR antibodies in colorectal cancer: where do they belong?结直肠癌中的表皮生长因子受体抗体:它们的归属在哪里?
J Clin Oncol. 2010 Nov 1;28(31):4668-70. doi: 10.1200/JCO.2010.29.3407. Epub 2010 Oct 4.
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Systematic review: Anti-epidermal growth factor receptor treatment effect modification by KRAS mutations in advanced colorectal cancer.系统评价:KRAS 突变对晚期结直肠癌抗表皮生长因子受体治疗效果的影响。
Ann Intern Med. 2011 Jan 4;154(1):37-49. doi: 10.7326/0003-4819-154-1-201101040-00006.
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Biologic therapies in the metastatic colorectal cancer treatment continuum--applying current evidence to clinical practice.生物疗法在转移性结直肠癌治疗连续体中的应用——将现有证据应用于临床实践。
Cancer Treat Rev. 2012 Aug;38(5):397-406. doi: 10.1016/j.ctrv.2011.08.002. Epub 2011 Sep 6.
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Predictive and prognostic factors in the complex treatment of patients with colorectal cancer.结直肠癌患者综合治疗中的预测和预后因素。
Magy Onkol. 2010 Dec;54(4):383-94. doi: 10.1556/MOnkol.54.2010.4.13.
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Dual targeting of the epidermal growth factor receptor using the combination of cetuximab and erlotinib: preclinical evaluation and results of the phase II DUX study in chemotherapy-refractory, advanced colorectal cancer.表皮生长因子受体的双重靶向治疗:西妥昔单抗联合厄洛替尼的临床前评估和二线治疗化疗耐药的晚期结直肠癌的Ⅱ期 DUX 研究结果。
J Clin Oncol. 2012 May 1;30(13):1505-12. doi: 10.1200/JCO.2011.38.6599. Epub 2012 Mar 12.
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PEAK: a randomized, multicenter phase II study of panitumumab plus modified fluorouracil, leucovorin, and oxaliplatin (mFOLFOX6) or bevacizumab plus mFOLFOX6 in patients with previously untreated, unresectable, wild-type KRAS exon 2 metastatic colorectal cancer.PEAK:一项随机、多中心的 II 期研究,评估帕尼单抗联合改良氟尿嘧啶、亚叶酸钙和奥沙利铂(mFOLFOX6)或贝伐珠单抗联合 mFOLFOX6 治疗既往未经治疗、不可切除、野生型 KRAS 外显子 2 转移性结直肠癌患者的疗效。
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Does bevacizumab impact anti-EGFR therapy efficacy in metastatic colorectal cancer?贝伐单抗对转移性结直肠癌的抗表皮生长因子受体(EGFR)治疗疗效有影响吗?
Oncotarget. 2016 Feb 23;7(8):9309-21. doi: 10.18632/oncotarget.7008.

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