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复发性子宫癌的新治疗方法。

New Treatments for Recurrent Uterine Cancer.

机构信息

Division of Gynecologic Oncology, Washington University School of Medicine, 4901 Forest Park Ave, 9th Floor, COH, Suite 905, St. Louis, MO, 63108, USA.

出版信息

Curr Oncol Rep. 2021 Nov 4;23(12):139. doi: 10.1007/s11912-021-01129-4.

DOI:10.1007/s11912-021-01129-4
PMID:34735648
Abstract

PURPOSE OF REVIEW

Endometrial cancer is a highly treatable cancer; however, 13 to 15% of cases recur. Traditional cytotoxic chemotherapies have produced modest results, but new treatments show promise. This information was compiled from an extensive literature search, which was completed in order to summarize current data in this review. Our objective was to describe new therapies for recurrent endometrial cancer in the last 5 years.

RECENT FINDINGS

New targeted therapies are being identified for advanced and recurrent endometrial cancer. Within the last 5 years, pembrolizumab and lenvatinib have improved survival in advanced or recurrent endometrial cancer. Similarly, trastuzumab has shown efficacy in HER2-producing uterine serous cancer. Patients with recurrent endometrial cancer are often difficult to salvage. Traditional chemotherapy has produced poor response rates. Both immunotherapy and other targeted therapies have shown promise in recurrent disease.

摘要

目的综述

子宫内膜癌是一种高度可治疗的癌症,但仍有 13%至 15%的病例会复发。传统细胞毒性化疗的效果有限,但新的治疗方法显示出了希望。这些信息是通过广泛的文献检索收集的,旨在总结本综述中的最新数据。我们的目的是描述过去 5 年内复发性子宫内膜癌的新疗法。

最近的发现

新的靶向疗法正在被确定用于治疗晚期和复发性子宫内膜癌。在过去的 5 年中,pembrolizumab 和 lenvatinib 改善了晚期或复发性子宫内膜癌患者的生存。同样,曲妥珠单抗在 HER2 阳性的子宫浆液性癌中也显示出疗效。复发性子宫内膜癌患者通常难以救治。传统化疗的反应率很低。免疫疗法和其他靶向疗法在复发性疾病中均显示出了希望。

相似文献

1
New Treatments for Recurrent Uterine Cancer.复发性子宫癌的新治疗方法。
Curr Oncol Rep. 2021 Nov 4;23(12):139. doi: 10.1007/s11912-021-01129-4.
2
Phase 3, randomized, open-label study of pembrolizumab plus lenvatinib versus chemotherapy for first-line treatment of advanced or recurrent endometrial cancer: ENGOT-en9/LEAP-001.帕博利珠单抗联合仑伐替尼对比化疗用于晚期或复发性子宫内膜癌一线治疗的 III 期、随机、开放标签研究:ENGOT-en9/LEAP-001。
Int J Gynecol Cancer. 2022 Jan;32(1):93-100. doi: 10.1136/ijgc-2021-003017. Epub 2021 Nov 19.
3
[New drug approval: Pembrolizumab plus lenvatinib in second line for patients with advanced or recurrent endometrial cancer].[新药获批:帕博利珠单抗联合乐伐替尼用于晚期或复发性子宫内膜癌患者的二线治疗]
Bull Cancer. 2022 Jul-Aug;109(7-8):740-741. doi: 10.1016/j.bulcan.2022.02.020. Epub 2022 Jun 4.
4
Uterine serous carcinoma: Molecular features, clinical management, and new and future therapies.子宫浆液性癌:分子特征、临床管理以及新的和未来的治疗方法。
Gynecol Oncol. 2021 Jan;160(1):322-332. doi: 10.1016/j.ygyno.2020.10.017. Epub 2020 Nov 5.
5
Pembrolizumab and lenvatinib versus carboplatin and paclitaxel as first-line therapy for advanced or recurrent endometrial cancer: A Markov analysis.帕博利珠单抗和仑伐替尼与卡铂和紫杉醇作为晚期或复发性子宫内膜癌的一线治疗:一项马尔可夫分析。
Gynecol Oncol. 2021 Aug;162(2):249-255. doi: 10.1016/j.ygyno.2021.05.038. Epub 2021 Jun 6.
6
Combination of pembrolizumab and lenvatinib is a potential treatment option for heavily pretreated recurrent and metastatic head and neck cancer.帕博利珠单抗联合仑伐替尼是一种潜在的治疗选择,用于治疗经大量预处理的复发性和转移性头颈部癌症。
J Chin Med Assoc. 2021 Apr 1;84(4):361-367. doi: 10.1097/JCMA.0000000000000497.
7
Pembrolizumab plus lenvatinib for all advanced endometrial cancer? Maybe not.帕博利珠单抗联合乐伐替尼用于所有晚期子宫内膜癌?可能并非如此。
Int J Gynecol Cancer. 2022 Apr 4;32(4):579. doi: 10.1136/ijgc-2022-003419.
8
Lenvatinib plus pembrolizumab in patients with advanced endometrial cancer: an interim analysis of a multicentre, open-label, single-arm, phase 2 trial.仑伐替尼联合帕博利珠单抗治疗晚期子宫内膜癌患者:一项多中心、开放标签、单臂、2 期临床试验的中期分析。
Lancet Oncol. 2019 May;20(5):711-718. doi: 10.1016/S1470-2045(19)30020-8. Epub 2019 Mar 25.
9
Safety and efficacy of pembrolizumab plus lenvatinib versus pembrolizumab and lenvatinib monotherapies in cancers: A systematic review.帕博利珠单抗联合仑伐替尼与帕博利珠单抗和仑伐替尼单药治疗癌症的安全性和有效性:系统评价。
Int Immunopharmacol. 2021 Feb;91:107281. doi: 10.1016/j.intimp.2020.107281. Epub 2020 Dec 16.
10
Toxicity and efficacy of the combination of pembrolizumab with recommended or reduced starting doses of lenvatinib for treatment of recurrent endometrial cancer.帕博利珠单抗联合推荐起始剂量或降低起始剂量仑伐替尼治疗复发性子宫内膜癌的毒性和疗效。
Gynecol Oncol. 2021 Jul;162(1):24-31. doi: 10.1016/j.ygyno.2021.04.034. Epub 2021 May 3.

引用本文的文献

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Health inequality and improvement gap in the prevalence of gynecological cancers among perimenopausal women globally, 1990-2019.1990 - 2019年全球围绝经期女性妇科癌症患病率的健康不平等与改善差距
BMC Public Health. 2025 Feb 12;25(1):590. doi: 10.1186/s12889-025-21807-3.
2
Race- associated molecular differences in uterine serous carcinoma.子宫浆液性癌中与种族相关的分子差异。
Front Oncol. 2024 Oct 3;14:1445128. doi: 10.3389/fonc.2024.1445128. eCollection 2024.
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Risk-adjusted hazard analysis of survival after pulmonary metastasectomy for uterine malignancies in 319 cases.

本文引用的文献

1
Carboplatin and Paclitaxel for Advanced Endometrial Cancer: Final Overall Survival and Adverse Event Analysis of a Phase III Trial (NRG Oncology/GOG0209).卡铂和紫杉醇治疗晚期子宫内膜癌:一项 III 期试验(NRG Oncology/GOG0209)的最终总生存和不良事件分析。
J Clin Oncol. 2020 Nov 20;38(33):3841-3850. doi: 10.1200/JCO.20.01076. Epub 2020 Sep 29.
2
Human epidermal growth factor 2 (HER2) in early stage uterine serous carcinoma: A multi-institutional cohort study.早期子宫浆液性癌中的人表皮生长因子 2(HER2):一项多机构队列研究。
Gynecol Oncol. 2020 Oct;159(1):17-22. doi: 10.1016/j.ygyno.2020.07.016. Epub 2020 Jul 21.
3
319例子宫恶性肿瘤肺转移瘤切除术后生存的风险调整后风险分析。
JTCVS Open. 2023 Jan 30;13:411-422. doi: 10.1016/j.xjon.2023.01.014. eCollection 2023 Mar.
4
The Global, Regional, and National Uterine Cancer Burden Attributable to High BMI from 1990 to 2019: A Systematic Analysis of the Global Burden of Disease Study 2019.1990年至2019年全球、区域和国家归因于高体重指数的子宫癌负担:全球疾病负担研究2019的系统分析
J Clin Med. 2023 Feb 27;12(5):1874. doi: 10.3390/jcm12051874.
5
Anti-tumor effect of Wasabi component, 6-(methylsulfinyl) hexyl isothiocyanate, against endometrial carcinoma cells.芥末成分6-(甲基亚磺酰基)己基异硫氰酸酯对子宫内膜癌细胞的抗肿瘤作用。
Discov Oncol. 2023 Jan 23;14(1):9. doi: 10.1007/s12672-023-00617-2.
6
Recurrent Endometrial Cancer: Which Is the Best Treatment? Systematic Review of the Literature.复发性子宫内膜癌:最佳治疗方法是什么?文献系统综述
Cancers (Basel). 2022 Aug 29;14(17):4176. doi: 10.3390/cancers14174176.
7
Neural plasticity of the uterus: New targets for endometrial cancer?子宫的神经可塑性:子宫内膜癌的新靶点?
Womens Health (Lond). 2022 Jan-Dec;18:17455057221095537. doi: 10.1177/17455057221095537.
Randomized Phase II Trial of Carboplatin-Paclitaxel Compared with Carboplatin-Paclitaxel-Trastuzumab in Advanced (Stage III-IV) or Recurrent Uterine Serous Carcinomas that Overexpress Her2/Neu (NCT01367002): Updated Overall Survival Analysis.
随机 II 期临床试验:卡铂-紫杉醇与卡铂-紫杉醇-曲妥珠单抗治疗过度表达 Her2/Neu(NCT01367002)的晚期(III-IV 期)或复发性子宫浆液性癌:总生存分析更新。
Clin Cancer Res. 2020 Aug 1;26(15):3928-3935. doi: 10.1158/1078-0432.CCR-20-0953. Epub 2020 Jun 29.
4
Trastuzumab Deruxtecan in Previously Treated HER2-Positive Gastric Cancer.曲妥珠单抗-德曲妥珠单抗用于既往治疗的 HER2 阳性胃癌。
N Engl J Med. 2020 Jun 18;382(25):2419-2430. doi: 10.1056/NEJMoa2004413. Epub 2020 May 29.
5
Lenvatinib Plus Pembrolizumab in Patients With Advanced Endometrial Cancer.仑伐替尼联合帕博利珠单抗治疗晚期子宫内膜癌患者。
J Clin Oncol. 2020 Sep 10;38(26):2981-2992. doi: 10.1200/JCO.19.02627. Epub 2020 Mar 13.
6
Second-line lenvatinib in patients with recurrent endometrial cancer.二线仑伐替尼治疗复发性子宫内膜癌患者。
Gynecol Oncol. 2020 Mar;156(3):575-582. doi: 10.1016/j.ygyno.2019.12.039. Epub 2020 Jan 17.
7
Clinical outcome of recurrent endometrial cancer: analysis of post-relapse survival by pattern of recurrence and secondary treatment.复发性子宫内膜癌的临床结局:基于复发模式和二线治疗的复发后生存分析。
Int J Gynecol Cancer. 2020 Feb;30(2):193-200. doi: 10.1136/ijgc-2019-000822. Epub 2019 Dec 1.
8
Comprehensive genomic profiling of recurrent endometrial cancer: Implications for selection of systemic therapy.复发性子宫内膜癌的全面基因组分析:对系统治疗选择的影响。
Gynecol Oncol. 2019 Sep;154(3):461-466. doi: 10.1016/j.ygyno.2019.06.016. Epub 2019 Jun 27.
9
Lenvatinib plus pembrolizumab in patients with advanced endometrial cancer: an interim analysis of a multicentre, open-label, single-arm, phase 2 trial.仑伐替尼联合帕博利珠单抗治疗晚期子宫内膜癌患者:一项多中心、开放标签、单臂、2 期临床试验的中期分析。
Lancet Oncol. 2019 May;20(5):711-718. doi: 10.1016/S1470-2045(19)30020-8. Epub 2019 Mar 25.
10
Uterine Cancer Incidence and Mortality - United States, 1999-2016.美国 1999-2016 年子宫癌发病率和死亡率。
MMWR Morb Mortal Wkly Rep. 2018 Dec 7;67(48):1333-1338. doi: 10.15585/mmwr.mm6748a1.