The Royal Marsden NHS Foundation Trust, London, SW3 6JJ, UK.
Institute of Cancer Research, London, SW7 3RP, UK.
Future Oncol. 2021 Jul;17(20):2659-2670. doi: 10.2217/fon-2020-1092. Epub 2021 Apr 21.
Liposarcomas are rare tumors arising from adipocytic tissue and accounting for approximately 15-20% of all soft tissue sarcomas. Liposarcoma can be further classified into histopathological subtypes with variable chemosensitivity according to subtype. Decisions regarding management should be made on an individual basis, but surgery for localized disease and systemic chemotherapy remain the mainstay of treatment. Currently, only doxorubicin and trabectedin have robust Phase III data to support their use in the management of advanced liposarcoma. However, in the subgroup analysis of a Phase III trial comparing eribulin with dacarbazine, there was a greater than 7-month improvement in median overall survival in those treated with eribulin. There are also promising results from emerging studies in novel and targeted agents for the treatment of liposarcoma.
脂肪肉瘤是一种罕见的起源于脂肪组织的肿瘤,约占所有软组织肉瘤的 15-20%。脂肪肉瘤可根据亚型进一步分为具有不同化疗敏感性的组织病理学亚型。管理决策应根据个体情况做出,但手术治疗局限性疾病和全身化疗仍然是治疗的主要方法。目前,只有多柔比星和曲贝替定具有强有力的 III 期数据支持其在治疗晚期脂肪肉瘤中的应用。然而,在一项比较艾日布林与达卡巴嗪的 III 期试验的亚组分析中,接受艾日布林治疗的患者中位总生存期改善超过 7 个月。对于治疗脂肪肉瘤的新型靶向药物也有令人鼓舞的研究结果。