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可手术切除的非小细胞肺癌的免疫治疗

Immunotherapy in surgically resectable non-small cell lung cancer.

作者信息

Owen Dwight, Chaft Jamie E

机构信息

Division of Medical Oncology, Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.

Thoracic Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center and Weill Cornell Medical College, New York, NY, USA.

出版信息

J Thorac Dis. 2018 Feb;10(Suppl 3):S404-S411. doi: 10.21037/jtd.2017.12.93.

Abstract

Surgical resection is the mainstay of therapy for patients with resectable and operable early stage non-small cell lung cancer (NSCLC). Surgery alone yields an unacceptably high rate of lung cancer recurrence. The addition of chemotherapy to surgery as adjuvant or neoadjuvant treatment can improve survival rates by roughly 5% at 5 years. Recently, major advances in cancer immunotherapy have led to better outcomes for many patients with lung cancer. Monoclonal antibodies to programmed death 1 and its ligand are now approved for both first and second line treatment patients with metastatic lung cancer. In this review, we will outline the rationale and current research strategies investigating the role of immunotherapy in resectable NSCLC.

摘要

手术切除是可切除且可手术的早期非小细胞肺癌(NSCLC)患者的主要治疗方法。单纯手术导致肺癌复发率高得令人难以接受。在手术基础上加用化疗作为辅助或新辅助治疗可使5年生存率提高约5%。最近,癌症免疫疗法取得了重大进展,使许多肺癌患者获得了更好的治疗效果。程序性死亡1及其配体的单克隆抗体现已获批用于转移性肺癌一线和二线治疗患者。在本综述中,我们将概述研究免疫疗法在可切除NSCLC中作用的基本原理和当前研究策略。

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