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[靶向抗癌药物的皮肤副作用]

[Cutaneous side effects of targeted cancer drugs].

作者信息

Below J, Homey B, Gerber P A

机构信息

Klinik für Dermatologie, Universitätsklinikum Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland.

出版信息

Hautarzt. 2017 Jan;68(1):12-18. doi: 10.1007/s00105-016-3902-3.

Abstract

In the past decades many new drugs were approved for the treatment of cancer and have been established as essential parts of various therapeutic regimens. In particular targeted therapies and immune checkpoint inhibitors that aim at specific carcinogenic signaling pathways or modulate the tumor-immune response have revolutionized cancer therapy. Despite their targeted actions, these drugs may lead to diverse adverse reactions. In particular, cutaneous toxicities represent a serious threat to patients' quality of life and may lead to dose reduction or therapy cessation. In most cases, basic management is performed by the treating oncologist. Nevertheless, more severe reactions may require the expertise of a dermatologist. In this review, we present specific cutaneous adverse reactions of new drug classes such as epidermal growth factor receptor inhibitors (EGFR-I), multikinase inhibitors (MKI), BRAF inhibitors, MEK inhibitors, and immune checkpoint inhibitors (anti-PD1-, anti-CTLA4-antibodies). Furthermore, we give recommendations concerning the prevention and management of respective cutaneous reactions.

摘要

在过去几十年中,许多新药被批准用于治疗癌症,并已成为各种治疗方案的重要组成部分。特别是针对特定致癌信号通路或调节肿瘤免疫反应的靶向治疗和免疫检查点抑制剂,彻底改变了癌症治疗方式。尽管这些药物具有靶向作用,但仍可能导致多种不良反应。特别是皮肤毒性对患者的生活质量构成严重威胁,可能导致剂量减少或治疗中断。在大多数情况下,基本的处理由主治肿瘤学家进行。然而,更严重的反应可能需要皮肤科医生的专业知识。在本综述中,我们介绍了新药类别(如表皮生长因子受体抑制剂(EGFR-I)、多激酶抑制剂(MKI)、BRAF抑制剂、MEK抑制剂和免疫检查点抑制剂(抗PD1-、抗CTLA4抗体))的特定皮肤不良反应。此外,我们针对相应皮肤反应的预防和处理提出建议。

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