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晚期表皮生长因子受体突变型肺癌患者治疗抵抗的管理:个体化、简约化和合作化。

Management of Treatment Resistance in Patients With Advanced Epidermal Growth Factor Receptor-Mutated Lung Cancer: Personalization, Parsimony, and Partnership.

机构信息

Division of Hematology and Oncology, Lahey Hospital and Medical Center & Tufts University School of Medicine; Boston, MA.

Division of Medical Oncology, Beth Israel Deaconess Medical Center & Harvard Medical School; Boston, MA.

出版信息

J Clin Oncol. 2024 Apr 10;42(11):1215-1221. doi: 10.1200/JCO.23.02417. Epub 2024 Feb 27.

Abstract

Journal Journal of Clinical OncologyPatients with ()-mutated advanced non-small-cell lung cancer represent a distinct subgroup of individuals who can experience initially tolerable and durable effects with first-line EGFR-directed tyrosine kinase inhibitors. Unfortunately, acquired treatment resistance and cancer progression within the CNS are inevitable during the disease course and present a challenging transition in the care continuum. Next-line therapies generally require combinations of drugs and afford nuanced differences in clinical outcomes relative to the treatment experience, toxicity profile, and quality of life. Therapeutic stratification and modulation thus require further personalization and partnership with patients to identify key clinical, molecular, and human-specific factors to best guide optimal care.

摘要

期刊《临床肿瘤学杂志》

具有()突变的晚期非小细胞肺癌患者代表了一个独特的亚组人群,他们可以通过一线 EGFR 靶向酪氨酸激酶抑制剂获得最初可耐受和持久的疗效。不幸的是,在疾病过程中,中枢神经系统(CNS)获得性治疗耐药和癌症进展是不可避免的,这在治疗连续体中是一个具有挑战性的转变。二线治疗通常需要药物联合使用,并且相对于治疗经验、毒性特征和生活质量,在临床结果方面存在细微差异。因此,治疗分层和调节需要进一步个性化,并与患者合作,以确定关键的临床、分子和人为因素,以最佳指导最佳护理。

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