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非小细胞肺癌的围手术期靶向治疗或免疫治疗

Perioperative Targeted Therapy Or Immunotherapy In Non-Small-Cell Lung Cancer.

作者信息

Sa Huanlan, Song Peng, Ma Kewei, Gao Yong, Zhang Li, Wang Deqiang

机构信息

Department of Pain Management, Affiliated Hospital of Binzhou Medical University, Binzhou 256603, People's Republic of China.

Department of Respiratory Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100010, People's Republic of China.

出版信息

Onco Targets Ther. 2019 Oct 3;12:8151-8159. doi: 10.2147/OTT.S222412. eCollection 2019.

Abstract

Targeted therapy and immunotherapy have changed the treatment modes for advanced non-small cell lung cancer (NSCLC), moving from second-line to first-line treatment and significantly extending patients' survival. Surgery and chemoradiotherapy remain the main treatment options for patients with locally advanced lung cancer, but recurrence and metastasis still occur in some patients. The survival rates of conventional perioperative chemotherapy among NSCLC patients have increased by only 5%. Therefore, more studies have begun to explore targeted and immune neoadjuvant/adjuvant therapies in early-stage and locally advanced NSCLC, and the relevant clinical research data have shown good efficacy and safety profiles. This article summarizes several clinical studies of critical importance.

摘要

靶向治疗和免疫治疗改变了晚期非小细胞肺癌(NSCLC)的治疗模式,从二线治疗转变为一线治疗,并显著延长了患者的生存期。手术和放化疗仍然是局部晚期肺癌患者的主要治疗选择,但仍有部分患者会出现复发和转移。NSCLC患者常规围手术期化疗的生存率仅提高了5%。因此,越来越多的研究开始探索早期和局部晚期NSCLC的靶向和免疫新辅助/辅助治疗,相关临床研究数据显示出良好的疗效和安全性。本文总结了几项至关重要的临床研究。

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