Suppr超能文献

[非小细胞肺癌脑转移治疗的研究进展]

[Research Progress in the Treatment of Brain Metastases 
from Non-small Cell Lung Cancer].

作者信息

Han Xue, Li Hongmei

机构信息

Qingdao Medical College, Qingdao University, Qingdao 266071, China.

Department of Oncology, The Affiliated Hospital of Qingdao University, Qingdao 266003, China.

出版信息

Zhongguo Fei Ai Za Zhi. 2020 Dec 20;23(12):1087-1094. doi: 10.3779/j.issn.1009-3419.2020.102.39.

Abstract

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.
.

摘要

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。

相似文献

1
[Research Progress in the Treatment of Brain Metastases 
from Non-small Cell Lung Cancer].
Zhongguo Fei Ai Za Zhi. 2020 Dec 20;23(12):1087-1094. doi: 10.3779/j.issn.1009-3419.2020.102.39.
4
[Multimodal Treatment of Non-Small Cell Lung Cancer with Cerebral Metastases].
Zentralbl Chir. 2015 Jun;140(3):328-33. doi: 10.1055/s-0035-1545825. Epub 2015 Jun 26.
6
[Progress of treatments in non-small cell lung cancer with brain metastases].
Zhongguo Fei Ai Za Zhi. 2012 May;15(5):309-13. doi: 10.3779/j.issn.1009-3419.2012.05.10.
7
Radical treatment of synchronous oligometastatic non-small cell lung carcinoma (NSCLC): patient outcomes and prognostic factors.
Lung Cancer. 2013 Oct;82(1):95-102. doi: 10.1016/j.lungcan.2013.07.023. Epub 2013 Aug 6.
8
Nonsmall cell lung cancer presenting with synchronous solitary brain metastasis.
Cancer. 2006 May 1;106(9):1998-2004. doi: 10.1002/cncr.21818.

引用本文的文献

1
Impact of lung adenocarcinoma subtypes on survival and timing of brain metastases.
Front Oncol. 2024 Sep 3;14:1433505. doi: 10.3389/fonc.2024.1433505. eCollection 2024.
2
Efficacy of different therapies for brain metastases of non-small cell lung cancer: a systematic review and meta-analysis.
Transl Lung Cancer Res. 2023 Apr 28;12(4):689-706. doi: 10.21037/tlcr-22-515. Epub 2023 Mar 20.
3
Analysis of Immunotherapy Combined with Radiotherapy in Patients with Brain Metastasis of Driver Gene-Negative Non-Small-Cell Lung Cancer.
Evid Based Complement Alternat Med. 2022 Sep 23;2022:1193075. doi: 10.1155/2022/1193075. eCollection 2022.

本文引用的文献

3
Separating or combining immune checkpoint inhibitors (ICIs) and radiotherapy in the treatment of NSCLC brain metastases.
J Cancer Res Clin Oncol. 2020 Jan;146(1):137-152. doi: 10.1007/s00432-019-03094-9. Epub 2019 Dec 7.
4
Management of leptomeningeal metastases in non-small cell lung cancer.
Indian J Cancer. 2019 Nov;56(Supplement):S1-S9. doi: 10.4103/ijc.IJC_74_19.
5
Bevacizumab suppresses the growth of established non-small-cell lung cancer brain metastases in a hematogenous brain metastasis model.
Clin Exp Metastasis. 2020 Feb;37(1):199-207. doi: 10.1007/s10585-019-10008-z. Epub 2019 Nov 25.
6
Second-generation EGFR and ErbB tyrosine kinase inhibitors as first-line treatments for non-small cell lung cancer.
Onco Targets Ther. 2019 Aug 15;12:6535-6548. doi: 10.2147/OTT.S198945. eCollection 2019.
7
[Basis of Tumor Microenvironment Relevant to Immunotherapies for Brain Metastases of NSCLC].
Zhongguo Fei Ai Za Zhi. 2019 Aug 20;22(8):512-519. doi: 10.3779/j.issn.1009-3419.2019.08.06.
8
Gefitinib Versus Gefitinib Plus Pemetrexed and Carboplatin Chemotherapy in -Mutated Lung Cancer.
J Clin Oncol. 2020 Jan 10;38(2):124-136. doi: 10.1200/JCO.19.01154. Epub 2019 Aug 14.
9
Management of CNS disease in ALK-positive non-small cell lung cancer: Is whole brain radiotherapy still needed?
Cancer Radiother. 2019 Sep;23(5):432-438. doi: 10.1016/j.canrad.2019.03.009. Epub 2019 Jul 19.
10
Nivolumab plus ipilimumab combination therapy for the first-line treatment NSCLC: evidence to date.
Cancer Manag Res. 2019 May 29;11:4893-4904. doi: 10.2147/CMAR.S164935. eCollection 2019.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验