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局部晚期鼻咽癌铂类化疗联合放疗的进展

Advance in integrating platinum-based chemotherapy with radiotherapy for locally advanced nasopharyngeal carcinoma.

作者信息

Zhu Fubin, Wu Yidan, Wang Hua

机构信息

Department of Cancer Center, Chengdu Seventh People's Hospital (Affiliated Cancer Hospital of Chengdu Medical College), Chengdu, China.

Center for Geriatric Medicine Assessment and Treatment, The Fourth People's Hospital of Chengdu, Chengdu, China.

出版信息

Front Oncol. 2023 Sep 28;13:1259331. doi: 10.3389/fonc.2023.1259331. eCollection 2023.

Abstract

Nasopharyngeal carcinoma (NPC) is a malignant tumor characterized by the malignant transformation of nasopharyngeal epithelial cells. It is highly sensitive to radiation therapy, making radiotherapy the primary treatment modality. However, 60-80% of patients are initially diagnosed with locally advanced NPC (LA-NPC), where radiotherapy alone often fails to achieve desirable outcomes. Therefore, combining radiotherapy with chemotherapy has emerged as an effective strategy to optimize treatment for LA-NPC patients. Among the various chemotherapy regimens, concurrent chemoradiotherapy (CCRT) using platinum-based drugs has been established as the most commonly utilized approach for LA-NPC patients. The extensive utilization of platinum drugs in clinical settings underscores their therapeutic potential and emphasizes ongoing efforts in the development of novel platinum-based complexes for anticancer therapy. The aim of this review is to elucidate the remarkable advances made in the field of platinum-based therapies for nasopharyngeal carcinoma, emphasizing their transformative impact on patient prognosis.

摘要

鼻咽癌(NPC)是一种以鼻咽上皮细胞恶性转化为特征的恶性肿瘤。它对放射治疗高度敏感,使得放射治疗成为主要的治疗方式。然而,60%至80%的患者最初被诊断为局部晚期鼻咽癌(LA-NPC),仅放射治疗往往无法取得理想的治疗效果。因此,放疗联合化疗已成为优化LA-NPC患者治疗的有效策略。在各种化疗方案中,使用铂类药物的同步放化疗(CCRT)已成为LA-NPC患者最常用的治疗方法。铂类药物在临床中的广泛应用凸显了它们的治疗潜力,并强调了在开发新型铂基复合物用于抗癌治疗方面持续不断的努力。本综述的目的是阐明铂基疗法在鼻咽癌领域取得的显著进展,强调它们对患者预后的变革性影响。

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