Wang Shuaibo, Mao Yousheng
Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.
Zhongguo Fei Ai Za Zhi. 2020 May 20;23(5):371-380. doi: 10.3779/j.issn.1009-3419.2020.103.07. Epub 2020 Apr 14.
Resectable non-small cell lung cancer (NSCLC) is currently considered as a potentially curable disease. Surgery is still the main treatment mode for resectable NSCLC, but quite a few patients will have local recurrence and distant metastasis after surgery. Therefore, preoperative and postoperative adjuvant therapy may be necessary in order to improve the long term outcome. Immunocheckpoint inhibitor has been demonstrated clinically to be effective andapproved as first- or second-line treatment agent in metastatic NSCLC or partially locally advanced NSCLC. The remarkable efficacy of immunotherapy for advanced lung cancer has attracted more and more attention from the researchers to the role of immunotherapy as neoadjuvent therapy in resectable non-small cell lung cancer. This article systematically reviewed the clinical trials of neoadjuvant immunotherapy for resectable NSCLC before surgery.
可切除的非小细胞肺癌(NSCLC)目前被认为是一种潜在可治愈的疾病。手术仍然是可切除NSCLC的主要治疗方式,但相当多的患者术后会出现局部复发和远处转移。因此,术前和术后辅助治疗可能是必要的,以改善长期疗效。免疫检查点抑制剂已在临床上被证明有效,并被批准作为转移性NSCLC或部分局部晚期NSCLC的一线或二线治疗药物。免疫疗法对晚期肺癌的显著疗效已引起研究人员对免疫疗法作为可切除非小细胞肺癌新辅助治疗作用的越来越多的关注。本文系统回顾了术前可切除NSCLC新辅助免疫治疗的临床试验。