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胆囊癌切除术后的辅助治疗。

Adjuvant therapy for resected gallbladder cancer.

作者信息

Suzuki Eiichiro, Bridgewater John

机构信息

UCL, Cancer Institute, London, UK; Department of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.

UCL, Cancer Institute, London, UK.

出版信息

Chin Clin Oncol. 2019 Aug;8(4):39. doi: 10.21037/cco.2019.07.02. Epub 2019 Jul 30.

Abstract

Gallbladder cancer, one of the family of biliary tract cancers, has a poor prognosis. Adjuvant therapy comprising radiotherapy, chemotherapy plus radiation therapy and systemic chemotherapy may all play a role in improving survival. Most extant data on adjuvant therapy are retrospective studies or meta-analyses based on these studies. Recently, a phase III study demonstrated that capecitabine is a standard treatment option for biliary tract cancers, including gallbladder cancer. Ongoing studies investigating chemotherapy, novel surgical strategies, immunotherapy, molecular-targeted therapies using molecular profiling have been developed. This review summarises current status and future perspectives of adjuvant therapy for gallbladder cancer.

摘要

胆囊癌是胆道癌家族中的一种,预后较差。包括放疗、化疗加放疗和全身化疗在内的辅助治疗可能都在提高生存率方面发挥作用。关于辅助治疗的大多数现有数据都是回顾性研究或基于这些研究的荟萃分析。最近,一项III期研究表明,卡培他滨是包括胆囊癌在内的胆道癌的标准治疗选择。目前正在开展研究,探索化疗、新型手术策略、免疫疗法以及利用分子谱分析的分子靶向疗法。本综述总结了胆囊癌辅助治疗的现状和未来展望。

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