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SEOM 临床指南:非小细胞肺癌治疗(2018 年)。

SEOM clinical guidelines for the treatment of non-small cell lung cancer (2018).

机构信息

Medical Oncology Department, Hospital de la Santa Creu i Sant Pau, Sant Antoni Maria Claret 167, 08025, Barcelona, Spain.

Medical Oncology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.

出版信息

Clin Transl Oncol. 2019 Jan;21(1):3-17. doi: 10.1007/s12094-018-1978-1. Epub 2018 Nov 17.

Abstract

Non-small cell lung cancer (NSCLC) accounts for up to 85% of all lung cancers. The last few years have seen the development of a new staging system, diagnostic procedures such as liquid biopsy, treatments like immunotherapy, as well as deeper molecular knowledge; so, more options can be offered to patients with driver mutations. Groups with specific treatments account for around 25% and demonstrate significant increases in overall survival, and in some subgroups, it is important to evaluate each treatment alternative in accordance with scientific evidence, and even more so with immunotherapy. New treatments similarly mean that we must reconsider what should be done in oligometastatic disease where local treatment attains greater value.

摘要

非小细胞肺癌(NSCLC)占所有肺癌的 85%左右。在过去的几年中,出现了新的分期系统、液体活检等诊断程序、免疫疗法等治疗方法,以及更深入的分子知识;因此,可以为有驱动基因突变的患者提供更多选择。具有特定治疗方法的患者群体约占 25%,总体生存率显著提高,在某些亚组中,根据科学证据评估每种治疗选择,甚至在免疫治疗中,这一点更为重要。新的治疗方法同样意味着我们必须重新考虑在寡转移疾病中应该做什么,局部治疗具有更大的价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16cd/6339680/b6d2c8f21d15/12094_2018_1978_Fig1_HTML.jpg

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