Department of Internal Medicine, Spital Uster, Zurich, Switzerland.
Department of Dermatology, Stanford University School of Medicine, Redwood City, California.
J Am Acad Dermatol. 2023 Jun;88(6):1225-1240. doi: 10.1016/j.jaad.2022.06.1206.
The important role of the immune system in the surveillance and control of keratinocyte cancers (KCs), namely squamous and basal cell carcinomas, is increasingly appreciated, as new immunotherapies have recently become available. As the field of immunotherapy is rapidly evolving, this review synthesizes key concepts and highlights important cellular components within the immune system responsible for attacking KCs. We review the most current data on the epidemiology, risk factors, and immunotherapy management for KCs. Patients will seek advice from dermatologists to help explain why immunotherapies work for KCs and whether they might be appropriate for different clinical scenarios. Collaboration with medical colleagues across different disciplines to evaluate KCs for response to immunotherapy and early recognition of immune-related adverse events will help to optimize patient outcomes.
免疫系统在监测和控制角质形成细胞癌(KCs),即鳞状细胞癌和基底细胞癌方面的重要作用,随着最近新的免疫疗法的出现,越来越受到重视。随着免疫疗法领域的迅速发展,本综述综合了关键概念,并强调了免疫系统中负责攻击 KCs 的重要细胞成分。我们回顾了 KCs 的流行病学、危险因素和免疫疗法管理的最新数据。患者将向皮肤科医生寻求建议,以帮助解释为什么免疫疗法对 KCs 有效,以及它们是否适用于不同的临床情况。与不同学科的医学同事合作,评估 KCs 对免疫疗法的反应和早期识别免疫相关不良事件,将有助于优化患者的治疗效果。