Department of Obstetrics and Gynecology.
Division of Gynecologic Oncology, University of Iowa, Iowa City, Iowa.
Clin Obstet Gynecol. 2020 Mar;63(1):86-91. doi: 10.1097/GRF.0000000000000500.
A diagnosis of recurrent epithelial ovarian cancer carries with it a very poor prognosis despite aggressive chemotherapy with or without secondary surgical cytoreduction. Recently, maintenance treatment after second-line chemotherapy has gained momentum given promising results of antiangiogenics and PARP inhibitors used in this setting. When used appropriately, these agents may provide a meaningful survival benefit with minimal effects on quality of life. This paper reveals the current literature evaluating the use of maintenance therapy in the recurrent setting for the epithelial ovarian, fallopian tube, or primary peritoneal cancers.
尽管采用积极的化疗联合或不联合二线手术减瘤,复发性上皮性卵巢癌的预后仍很差。最近,二线化疗后维持治疗的应用越来越多,因为在这种情况下使用抗血管生成药物和 PARP 抑制剂取得了有希望的结果。这些药物如果使用得当,可能会带来有意义的生存获益,同时对生活质量的影响最小。本文揭示了目前评估维持治疗在复发性上皮性卵巢癌、输卵管癌或原发性腹膜癌中的应用的文献。