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晚期非小细胞肺癌的化疗时代真的结束了吗?也许还没有。

Is the chemotherapy era in advanced non-small cell lung cancer really over? Maybe not yet.

作者信息

Lo Russo Giuseppe, Imbimbo Martina, Garassino Marina Chiara

机构信息

Thoracic Unit, Department of Medical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan - Italy.

出版信息

Tumori. 2016 Jun 2;2016(3):223-5. doi: 10.5301/tj.5000479. Epub 2016 Mar 15.

Abstract

Lung cancer is one of the most frequently diagnosed tumors in both the male and female population. In Italy it is the leading cause of cancer deaths in men and the third in women. Although the 5-year survival rate has moderately increased in the last years, the diagnosis remains associated with a very poor prognosis. However, in the last decade significant progress has been made, also in the treatment of advanced-stage non-small cell lung cancer. The advent of targeted therapies and the recent explosion of immunotherapy seem to have limited the role of chemotherapy. But is this completely true? The aim of this editorial is to discuss some of the most controversial aspects of the therapeutic scenario in non-small cell lung cancer, with particular attention to the role that chemotherapy still plays.

摘要

肺癌是男性和女性人群中最常被诊断出的肿瘤之一。在意大利,它是男性癌症死亡的主要原因,在女性中则位列第三。尽管近年来5年生存率有一定程度的提高,但肺癌的诊断仍然与非常差的预后相关。然而,在过去十年中已经取得了重大进展,在晚期非小细胞肺癌的治疗方面也是如此。靶向治疗的出现以及近期免疫治疗的迅猛发展似乎限制了化疗的作用。但这完全正确吗?这篇社论的目的是讨论非小细胞肺癌治疗方案中一些最具争议的方面,尤其关注化疗仍然所起的作用。

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