Department of Medicine, Memorial Sloan Kettering Cancer Center, New York City, New York, USA.
J Surg Oncol. 2021 May;123(6):1475-1488. doi: 10.1002/jso.26359.
Metastatic pancreatic ductal adenocarcinoma (PDAC) is a major cause of cancer-related mortality in 2021. Cytotoxic therapies are the therapeutic mainstay for PDAC. The recent approval of olaparib as maintenance therapy for germline BRCA1/2-mutated PDAC and pembrolizumab for mismatch repair deficient PDAC represent molecularly targeted approaches for this disease. Investigational therapeutic strategies include targeting the stroma, metabolism, tumor microenvironment, and the immune system, and selected approaches are reviewed herein.
转移性胰腺导管腺癌 (PDAC) 是 2021 年癌症相关死亡的主要原因。细胞毒性疗法是 PDAC 的主要治疗方法。奥拉帕利作为种系 BRCA1/2 突变 PDAC 的维持治疗以及帕博利珠单抗作为错配修复缺陷 PDAC 的治疗药物的最近获批代表了该疾病的分子靶向治疗方法。研究性治疗策略包括针对基质、代谢、肿瘤微环境和免疫系统,本文回顾了一些选定的方法。