Roh Mee Sook
Department of Pathology, Dong-A University College of Medicine, Busan, Korea.
Tuberc Respir Dis (Seoul). 2014 Aug;77(2):49-54. doi: 10.4046/trd.2014.77.2.49. Epub 2014 Aug 29.
The rapid development of targeted therapies has enormously changed the clinical management of lung cancer patients over the past decade; therefore, molecular testing, such as epidermal growth factor receptor (EGFR) gene mutations or anaplastic lymphoma kinase (ALK) gene rearrangements, is now routinely used to predict the therapeutic responses in lung cancer patients. Moreover, as technology and knowledge supporting molecular testing is rapidly evolving, the landscape of targetable genomic alterations in lung cancer is expanding as well. This article will summarize the current state of the most commonly altered and most clinically relevant genes in lung cancer along with a brief review of potential future developments in molecular testing of lung cancer.
在过去十年中,靶向治疗的迅速发展极大地改变了肺癌患者的临床管理;因此,分子检测,如表皮生长因子受体(EGFR)基因突变或间变性淋巴瘤激酶(ALK)基因重排,现在经常用于预测肺癌患者的治疗反应。此外,随着支持分子检测的技术和知识迅速发展,肺癌中可靶向基因组改变的范围也在扩大。本文将总结肺癌中最常见改变且临床相关性最高的基因的现状,并简要回顾肺癌分子检测未来可能的发展。