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转移性或不可切除的高分化/去分化脂肪肉瘤的全身治疗

Systemic Therapy in Metastatic or Unresectable Well-Differentiated/Dedifferentiated Liposarcoma.

作者信息

McGovern Yevette, Zhou Charlie D, Jones Robin L

机构信息

Royal Marsden Hospital/Institute of Cancer Research, London, United Kingdom.

Royal Free London NHS Foundation Trust, London, United Kingdom.

出版信息

Front Oncol. 2017 Nov 30;7:292. doi: 10.3389/fonc.2017.00292. eCollection 2017.

Abstract

Liposarcoma is one of the most common subtypes of soft-tissue sarcoma and consists of three main subtypes, of which well-differentiated liposarcoma and dedifferentiated liposarcoma account for 40-45%. The current mainstay of systemic treatment for patients with metastatic or unresectable disease remains doxorubicin with or without ifosfamide in the first-line setting. Recently, eribulin and trabectedin have been approved by the US Food and Drug Administration for recurrent liposarcomas and progress in molecular characterization of these tumors has opened up new and potential novel treatment targets. This review will focus on the evidence base for current treatment strategies and will also discuss potential future options.

摘要

脂肪肉瘤是软组织肉瘤最常见的亚型之一,主要由三种亚型组成,其中高分化脂肪肉瘤和去分化脂肪肉瘤占40%-45%。对于转移性或不可切除疾病患者,目前全身治疗的主要方法仍是一线使用阿霉素,可联合或不联合异环磷酰胺。最近,艾日布林和曲贝替定已获美国食品药品监督管理局批准用于复发性脂肪肉瘤,这些肿瘤分子特征的研究进展开辟了新的潜在治疗靶点。本综述将聚焦于当前治疗策略的证据基础,并讨论未来可能的选择。

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