Ríos-Hoyo Alejandro, Moliner Laura, Arriola Edurne
Department of Medical Oncology, Hospital del Mar-CIBERONC (Centro de Investigación Biomédica en Red de Oncología), 08003 Barcelona, Spain.
Cancer Research Program, IMIM (Institut Hospital del Mar d'Investigacions Mèdiques), 08003 Barcelona, Spain.
Cancers (Basel). 2022 Apr 12;14(8):1931. doi: 10.3390/cancers14081931.
EGFR-mutated tumors represent a significant percentage of non-small cell lung cancer. Despite the increasing use of osimertinib, a treatment that has demonstrated an outstanding clinical benefit with a tolerable toxicity profile, EGFR tumors eventually acquire mechanisms of resistance. In the last years, multiple mechanisms of resistance have been identified; however, after progressing on osimertinib, treatment options remain bleak. In this review, we cover the most frequent alterations and potential therapeutic strategies to overcome them.
表皮生长因子受体(EGFR)突变型肿瘤在非小细胞肺癌中占相当大的比例。尽管奥希替尼的使用越来越广泛,这种治疗方法已显示出显著的临床益处且毒性可耐受,但EGFR肿瘤最终仍会产生耐药机制。在过去几年中,已发现多种耐药机制;然而,在接受奥希替尼治疗病情进展后,治疗选择仍然有限。在本综述中,我们涵盖了最常见的改变以及克服这些改变的潜在治疗策略。