Zhang Shuang, Li Shuang, Cui Yanan, Cheng Ying
Department of Thoracic Oncology, Jilin Cancer Hospital, Changchun 130000, China.
Zhongguo Fei Ai Za Zhi. 2021 Oct 20;24(10):729-733. doi: 10.3779/j.issn.1009-3419.2021.101.28.
The transformation of non-small cell lung cancer to small cell lung cancer (SCLC) is one of the major resistant mechanisms, especially patients with epidermal growth factor receptor mutant lung adenocarcinoma. Translational SCLC has been found to have similar clinical features to primary SCLC. Chemotherapy was short-term effective for transformational SCLC, with a median survival of only about 1 year. The deletion of RB1 and the change of somatic copy number were associated with SCLC transformation. Although the molecular mechanism of SCLC transformation is still not fully understood. At the same time, the treatment of transformational SCLC also faces great challenges. Currently, chemotherapy regimens for SCLC are the main treatment options for transforming SCLC. Combination therapy, local treatment and strategies for prevention of SCLC transformatio are also being explored. This article will review research advances on the clinical features, molecular mechanism and treatment options of translational SCLC. .
非小细胞肺癌向小细胞肺癌(SCLC)的转化是主要的耐药机制之一,尤其是表皮生长因子受体突变的肺腺癌患者。已发现转化型SCLC具有与原发性SCLC相似的临床特征。化疗对转化型SCLC短期有效,中位生存期仅约1年。RB1缺失和体细胞拷贝数变化与SCLC转化有关。尽管SCLC转化的分子机制仍未完全明确。同时,转化型SCLC的治疗也面临巨大挑战。目前,SCLC的化疗方案是转化型SCLC的主要治疗选择。联合治疗、局部治疗以及预防SCLC转化的策略也在探索中。本文将综述转化型SCLC的临床特征、分子机制及治疗选择的研究进展。