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非小细胞肺癌的生物学特性与治疗管理。

The biology and management of non-small cell lung cancer.

机构信息

Yale Cancer Center, Yale School of Medicine, New Haven, Connecticut, USA.

Washington University School of Medicine, St Louis, Missouri, USA.

出版信息

Nature. 2018 Jan 24;553(7689):446-454. doi: 10.1038/nature25183.


DOI:10.1038/nature25183
PMID:29364287
Abstract

Important advancements in the treatment of non-small cell lung cancer (NSCLC) have been achieved over the past two decades, increasing our understanding of the disease biology and mechanisms of tumour progression, and advancing early detection and multimodal care. The use of small molecule tyrosine kinase inhibitors and immunotherapy has led to unprecedented survival benefits in selected patients. However, the overall cure and survival rates for NSCLC remain low, particularly in metastatic disease. Therefore, continued research into new drugs and combination therapies is required to expand the clinical benefit to a broader patient population and to improve outcomes in NSCLC.

摘要

在过去的二十年中,非小细胞肺癌(NSCLC)的治疗取得了重要进展,加深了我们对疾病生物学和肿瘤进展机制的理解,并推动了早期检测和多模式治疗。小分子酪氨酸激酶抑制剂和免疫疗法的应用为部分患者带来了前所未有的生存获益。然而,NSCLC 的总体治愈率和生存率仍然较低,特别是在转移性疾病中。因此,需要继续研究新药和联合疗法,以扩大临床获益范围,改善 NSCLC 的治疗效果。

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本文引用的文献

[1]
Osimertinib in Untreated EGFR-Mutated Advanced Non-Small-Cell Lung Cancer.

N Engl J Med. 2017-11-18

[2]
Evolution and clinical impact of co-occurring genetic alterations in advanced-stage EGFR-mutant lung cancers.

Nat Genet. 2017-12

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Lorlatinib in non-small-cell lung cancer with ALK or ROS1 rearrangement: an international, multicentre, open-label, single-arm first-in-man phase 1 trial.

Lancet Oncol. 2017-12

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Cancer Discov. 2017-10-12

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Nat Med. 2017-11

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N Engl J Med. 2017-9-8

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N Engl J Med. 2017-8-31

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J Clin Oncol. 2017-8-14

[10]
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Nature. 2017-8-17

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