Li Chenghui, Lu Hongyang
The Second Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou, Zhejiang province, People's Republic of China.
Department of Thoracic Medical Oncology, Zhejiang Cancer Hospital, Hangzhou, People's Republic of China,
Onco Targets Ther. 2018 Aug 14;11:4829-4835. doi: 10.2147/OTT.S164574. eCollection 2018.
Adenosquamous carcinoma of the lung (ASC), a relatively rare subtype of non-small-cell lung cancer, is defined as a malignancy containing components of lung adenocarcinoma (ADC) and lung squamous cell carcinoma (SCC). Although ASC has biological characteristics of ADC and SCC, it is not by any means a simple hybrid of two components above. It is extremely difficult to diagnose preoperatively; pathology of surgically resected gross specimen is the most effective means for adequate diagnosis of ASC. Platinum-based postoperative adjuvant chemotherapy for at least four cycles can significantly improve the survival in stage III patients with ASC. Epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) such as erlotinib and gefitinib can be the effective therapeutic strategies for advanced EGFR-mutant ASC. The studies of crizotinib in the treatment of patients with ASC are very limited. Immune checkpoint blockade therapy may be a potential treatment choice for ASC patients.
肺腺鳞癌(ASC)是一种相对罕见的非小细胞肺癌亚型,被定义为包含肺腺癌(ADC)和肺鳞状细胞癌(SCC)成分的恶性肿瘤。尽管ASC具有ADC和SCC的生物学特征,但它绝不是上述两种成分的简单混合。术前诊断极为困难;手术切除大体标本的病理检查是充分诊断ASC的最有效手段。对于III期ASC患者,术后至少进行四个周期的铂类辅助化疗可显著提高生存率。表皮生长因子受体酪氨酸激酶抑制剂(EGFR-TKIs),如厄洛替尼和吉非替尼,可为晚期EGFR突变型ASC的有效治疗策略。克唑替尼治疗ASC患者的研究非常有限。免疫检查点阻断疗法可能是ASC患者的一种潜在治疗选择。