Han Xue, Li Hongmei
Qingdao Medical College, Qingdao University, Qingdao 266071, China.
Department of Oncology, The Affiliated Hospital of Qingdao University, Qingdao 266003, China.
Zhongguo Fei Ai Za Zhi. 2020 Dec 20;23(12):1087-1094. doi: 10.3779/j.issn.1009-3419.2020.102.39.
Lung cancer is the leading cause of cancer-related deaths worldwide. The most common pathological type of lung cancer is non-small cell lung cancer (NSCLC). The incidence of brain metastases caused by NSCLC has been on the rise. Brain metastasis seriously affects the patient's cognitive function, survival time and quality of life, and the prognosis is extremely poor. The natural course of the disease is about 1 mon-3 mon. After treatment, the median survival time is only 3 mon-6 mon, the one year survival rate is 14%, and the two years survival rate is only 7.6%. The location, number, and size of brain metastases are related to their symptoms and survival. Patients with central nervous system symptoms have a worse prognosis. The goal of brain metastasis treatment is to optimize overall survival and quality of life, and to prioritize the preservation of neurocognitive functions. At present, the main treatments for brain metastases in NSCLC include radiotherapy, surgery, chemotherapy, molecular targeting, and immunotherapy. Clinically, it is necessary to conduct a multidisciplinary assessment of the best treatment methods for patients according to the heterogeneity of patients (clinical characteristics, pathological types, tissue types, etc). This article aims to review the research progress of current treatment methods. .
肺癌是全球癌症相关死亡的主要原因。肺癌最常见的病理类型是非小细胞肺癌(NSCLC)。NSCLC所致脑转移的发生率一直在上升。脑转移严重影响患者的认知功能、生存时间和生活质量,预后极差。该病的自然病程约为1个月至3个月。治疗后,中位生存时间仅为3个月至6个月,1年生存率为14%,2年生存率仅为7.6%。脑转移瘤的位置、数量和大小与其症状及生存情况相关。有中枢神经系统症状的患者预后更差。脑转移瘤治疗的目标是优化总生存期和生活质量,并优先保护神经认知功能。目前,NSCLC脑转移瘤的主要治疗方法包括放疗、手术、化疗、分子靶向治疗和免疫治疗。临床上,有必要根据患者的异质性(临床特征、病理类型、组织类型等)对患者的最佳治疗方法进行多学科评估。本文旨在综述当前治疗方法的研究进展。