Semin Oncol. 2014 Feb;41(1):101-9. doi: 10.1053/j.seminoncol.2013.12.010. Epub 2013 Dec 12.
The epidermal growth factor receptor (EGFR) mutation is a potent oncogenic driver that accounts for carcinogenesis and tumor growth of pulmonary adenocarcinoma. Targeting EGFR with tyrosine kinase inhibitors (TKIs) is highly effective in terms of tumor response rate, progression-free survival (PFS), and quality of life. Multiple randomized studies have confirmed the superiority of EGFR TKIs over platinum-based chemotherapy and established EGFR TKIs as standard first-line therapy for patients with EGFR mutation-positive non-small cell lung cancer (NSCLC). However, almost all patients will develop resistance to EGFR TKIs and post progression therapy may include a combination of local therapy, systemic chemotherapy, and second-generation EGFR TKIs.
表皮生长因子受体 (EGFR) 突变是一种强有力的致癌驱动因素,可导致肺腺癌的发生和肿瘤生长。针对 EGFR 的酪氨酸激酶抑制剂 (TKI) 在肿瘤缓解率、无进展生存期 (PFS) 和生活质量方面具有高度疗效。多项随机研究证实了 EGFR TKI 优于铂类化疗的优越性,并将 EGFR TKI 确立为 EGFR 突变阳性非小细胞肺癌 (NSCLC) 患者的标准一线治疗。然而,几乎所有患者都会对 EGFR TKI 产生耐药性,进展后治疗可能包括局部治疗、全身化疗和第二代 EGFR TKI 的联合治疗。