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妇科恶性肿瘤的免疫治疗进展。

Advances in immunotherapy for gynecological malignancies.

机构信息

Women's Reproductive Health Laboratory of Zhejiang Province, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang, China.

Department of Gynecologic Oncology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang, China.

出版信息

Crit Rev Oncol Hematol. 2023 Aug;188:104063. doi: 10.1016/j.critrevonc.2023.104063. Epub 2023 Jun 28.

Abstract

To date, surgery, chemotherapy and radiotherapy are mainly used to treat or remove gynecological malignancies. However, these approaches have their limitations when facing complicated female diseases such as advanced cervical and endometrial cancer (EC), chemotherapy-resistant gestational trophoblastic neoplasia and platinum-resistant ovarian cancer. Instead, immunotherapy, as an alternative, could significantly improve prognosis of those patients receiving traditional treatments, with better antitumor activities and possibly less cellular toxicities. Its' development is still not fast enough to meet the current clinical needs. More preclinical studies and larger-scale clinical trials are required. This review aims to introduce the landscape and up-to-date status of immunotherapy against gynecological malignancies, with a discussion of the challenges and future direction.

摘要

迄今为止,手术、化疗和放疗主要用于治疗或去除妇科恶性肿瘤。然而,在面对复杂的女性疾病如晚期宫颈癌和子宫内膜癌(EC)、化疗耐药性妊娠滋养细胞肿瘤和铂耐药性卵巢癌时,这些方法存在局限性。相反,免疫疗法作为一种替代方法,可以显著改善接受传统治疗的患者的预后,具有更好的抗肿瘤活性,并且可能毒性更小。但其发展速度还不够快,无法满足当前的临床需求。需要更多的临床前研究和更大规模的临床试验。本文旨在介绍针对妇科恶性肿瘤的免疫治疗的现状和最新进展,并讨论面临的挑战和未来方向。

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