Popescu Carmen, Mazilu Laura, Suceveanu Andra-Iulia, Grigorescu Alexandru
Doctoral School, 'Carol Davila' University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Department of Oncology, Clinical Emergency Hospital, 'Ovidius' University, 900527 Constanţa, Romania.
Exp Ther Med. 2021 Oct;22(4):1150. doi: 10.3892/etm.2021.10584. Epub 2021 Aug 10.
Despite many advances in the latest period, lung cancer remains the cancer with the highest mortality. The latest developments concerning lung cancer treatment have changed the clinical practice by prolonging patient survival; however, unfortunately, there remains a high mortality rate firstly due to disease aggressivity and secondly through lack of early diagnosis and screening programs. Currently, researchers and clinicians are talking about personalized cancer treatment, and a complete diagnostic evaluation should consider, in addition to staging and histology, molecular aberrations, and genetics of the tumor tissue. The development of tyrosine kinase inhibitors (TKIs) has led to an improvement in survival for patients with EGFR mutations, this being the most studied driver mutation in adenocarcinoma; and at the same time an important predictive factor for patient outcome following the treatment with TKIs. Reseach must investigate the different TKI combination strategies in order to overcome resistance and to increase patient survival. Currently, there are ongoing clinical trials that will probably change the therapeutic approach for -mutated advanced or metastatic NSCLC patients.
尽管在最近一段时间取得了许多进展,但肺癌仍然是死亡率最高的癌症。肺癌治疗的最新进展通过延长患者生存期改变了临床实践;然而,不幸的是,由于疾病的侵袭性以及缺乏早期诊断和筛查项目,死亡率仍然很高。目前,研究人员和临床医生正在谈论个性化癌症治疗,除了分期和组织学外,完整的诊断评估还应考虑肿瘤组织的分子异常和遗传学。酪氨酸激酶抑制剂(TKIs)的发展提高了表皮生长因子受体(EGFR)突变患者的生存率,这是腺癌中研究最多的驱动突变;同时也是TKIs治疗后患者预后的重要预测因素。研究必须探索不同的TKI联合策略,以克服耐药性并提高患者生存率。目前,正在进行的临床试验可能会改变携带特定突变的晚期或转移性非小细胞肺癌(NSCLC)患者的治疗方法。