Hsu Andrew, Mendelson Lauren, Almhanna Khaldoun
Division of Hematology/Oncology, The Warren Alpert Medical School of Brown University, Lifespan Cancer Institute, Rhode Island Hospital, Providence, RI.
Department of Medicine, The University of Massachusetts Medical School, Worcester, MA.
R I Med J (2013). 2020 Apr 1;103(3):33-37.
Gastrointestinal cancers are some of the most common malignancies worldwide. Traditional chemotherapy has been disappointing in improving overall survival in patients with unresectable or metastatic disease. The dawn of immunotherapy has led to emerging strategies in incorporating immune checkpoint inhibition either as single agents or in combination when treating gastrointestinal cancers. In this review, a general overview of the state of immunotherapy in the treatment gastrointestinal cancers is first provided. Subsequently, a review of the FDA-approved uses of immunotherapy in gastric, gastroesophageal, hepatobiliary, pancreatic and colorectal cancers will be provided followed by a glimpse into future treatment directions.
胃肠道癌症是全球最常见的恶性肿瘤之一。传统化疗在改善不可切除或转移性疾病患者的总生存期方面一直不尽人意。免疫疗法的出现带来了新的策略,即在治疗胃肠道癌症时,将免疫检查点抑制作为单一药物或联合用药。在本综述中,首先概述了免疫疗法在治疗胃肠道癌症方面的现状。随后,将回顾美国食品药品监督管理局(FDA)批准的免疫疗法在胃癌、胃食管癌、肝胆癌、胰腺癌和结直肠癌中的应用,最后展望未来的治疗方向。