Department of Internal Medicine V, Hematology and Oncology, Medical University Innsbruck, Innsbruck, Austria.
Oncol Res Treat. 2016;39(12):796-802. doi: 10.1159/000453027. Epub 2016 Nov 22.
Over the past decades, considerable progress has been made in the management of colorectal cancer (CRC), leading to a significant improvement in overall survival. Although part of this success has been rightly attributed to aggressive surgical management and advances in other adjunct treatments, our understanding of the pathogenesis of CRC and emergence of newer molecular targets for colon cancer has created a powerful impact. In this review article, we will discuss various targeted therapies in the management of metastatic CRC (mCRC). In particular, vascular endothelial growth factor (VEGF)- and epidermal growth factor receptor (EGFR)-targeting monoclonal antibodies have become integral components of the first-line treatment strategies for mCRC. Newer agents on the horizon soon to be incorporated in clinical practice will be briefly reviewed as well. Currently, the only predictive biomarker for treatment selection in patients with mCRC is tumor RAS mutational status.
在过去的几十年中,结直肠癌(CRC)的管理取得了相当大的进展,导致总体生存率显著提高。尽管部分成功归因于积极的手术管理和其他辅助治疗的进展,但我们对 CRC 发病机制的理解以及针对结肠癌的新型分子靶点的出现产生了重大影响。在这篇综述文章中,我们将讨论转移性 CRC(mCRC)管理中的各种靶向治疗。特别是,血管内皮生长因子(VEGF)和表皮生长因子受体(EGFR)靶向单克隆抗体已成为 mCRC 一线治疗策略的重要组成部分。即将纳入临床实践的新型药物也将简要回顾。目前,mCRC 患者治疗选择的唯一预测生物标志物是肿瘤 RAS 突变状态。