Pihlak Rille, Fong Caroline, Starling Naureen
Gastrointestinal/Lymphoma Unit, The Royal Marsden NHS Foundation Trust, London SW3 6JJ, UK.
Cancers (Basel). 2023 Jun 19;15(12):3248. doi: 10.3390/cancers15123248.
Gastric cancer is an aggressive disease with survival remaining poor in the advanced setting. More than a decade after the first targeted treatment was approved, still only HER2, MSI and PDL-1 status have reached everyday practice in terms of guiding treatment options for these patients. However, various new targets and novel treatments have recently been investigated and have shown promise in improving survival outcomes. In this review, we will summarise previous and currently ongoing studies on predictive biomarkers, possible new targeted treatments, potential reasons for conflicting trial results and hope for the future of precision medicine in gastric cancer.
胃癌是一种侵袭性疾病,晚期患者的生存率仍然很低。在首个靶向治疗获批十多年后,就指导这些患者的治疗选择而言,目前仍只有HER2、微卫星高度不稳定(MSI)和程序性死亡受体1(PDL-1)状态应用于日常临床实践。然而,最近对各种新靶点和新治疗方法进行了研究,并显示出改善生存结果的前景。在这篇综述中,我们将总结既往及目前正在进行的关于预测生物标志物、可能的新靶向治疗、试验结果相互矛盾的潜在原因以及胃癌精准医学未来希望的研究。