Denaro Nerina, Merlano Marco Carlo
Department of Oncology, ASO Santa Croce e Carle, Cuneo, Italy.
Clin Exp Otorhinolaryngol. 2018 Dec;11(4):217-223. doi: 10.21053/ceo.2018.00150. Epub 2018 Jul 6.
Prognosis in relapsed metastatic head and neck squamous cell cancer (RM-HNSCC) is dismal. Platinum based chemotherapy in combination with Cetuximab is used in first-line setting, while no further validated options are available at progression. Immunotherapy has produced durable clinical benefit in some patients with RM-HNSCC although the premises are several patients are nonresponders. Studies are ongoing to determine predictive factors and the ideal setting/combination of novel immunotherapies. In this paper, we discuss the past and present of immunotherapy in head and neck cancer and provide an up-to-date information regarding the potential ways to improve immunotherapy outcomes in HNSCC.
复发转移性头颈部鳞状细胞癌(RM-HNSCC)的预后很差。铂类化疗联合西妥昔单抗用于一线治疗,而疾病进展时没有进一步经过验证的治疗方案。免疫疗法已在一些RM-HNSCC患者中产生了持久的临床获益,尽管有几个前提条件是部分患者无反应。目前正在进行研究以确定预测因素以及新型免疫疗法的理想应用环境/联合方案。在本文中,我们讨论了头颈癌免疫疗法的过去和现在,并提供了有关改善HNSCC免疫治疗结果潜在方法的最新信息。