Perez-Fidalgo J Alejandro, Grau Francisco, Fariñas Lorena, Oaknin Ana
Department of Oncology and Hematology, Hospital Clinico Universitario Valencia, INCLIVA, CIBERONC, Spain.
Department of Oncology, Hospital Vall d'Hebron, VHIO, Barcelona, Spain.
Crit Rev Oncol Hematol. 2021 Feb;158:103209. doi: 10.1016/j.critrevonc.2020.103209. Epub 2020 Dec 31.
Despite optimal first-line treatment based on debulking surgery and platinum-paclitaxel chemotherapy, most of the patients with advanced ovarian cancer (AOC) will eventually relapse. Over the last decades, different strategies have been assessed to improve AOC patients' outcomes in the front-line treatment. However, first line treatment landscape of AOC had not undergone major changes until the last three years. In the present review, we will navigate through the different therapeutic approaches developed in first-line AOC which range from variations in dose/administration via of conventional carboplatin-based chemotherapy to the incorporation of anti-angiogenic agents and PARP inhibitors.
尽管基于减瘤手术和铂类-紫杉醇化疗进行了优化的一线治疗,但大多数晚期卵巢癌(AOC)患者最终仍会复发。在过去几十年中,人们评估了不同的策略以改善AOC患者一线治疗的结局。然而,直到过去三年,AOC的一线治疗格局才发生重大变化。在本综述中,我们将探讨一线AOC中开发的不同治疗方法,其范围从传统的基于卡铂化疗的剂量/给药方式的变化到抗血管生成药物和PARP抑制剂的纳入。