Tong Yajun, Long Yong, Zhang Fan, Li Junfeng
Department of Oncology, Yueyang Central Hospital, Yueyang 414000, China.
Department of Oncology, Xiangya Changde Hospital, Changde 415000, China.
Zhongguo Fei Ai Za Zhi. 2024 Apr 20;27(4):306-320. doi: 10.3779/j.issn.1009-3419.2024.101.10.
The advent of immune checkpoint inhibitors (ICIs) has greatly improved the prognosis of advanced lung cancer patients, but can lead to pseudoprogression (PsP), which complicates clinical evaluation and management. PsP is manifested as temporary enlargement of the tumour or the appearance of new lesions, etc., and improvement in imaging occurs with continued treatment, mostly without worsening of clinical symptoms. Currently, there are still difficulties in the early diagnosis of PsP, and its occurrence mechanism is not yet clear, lacking good predictive factors and related biomarkers. This article reviews the current research status of PsP of ICIs in non-small cell lung cancer in order to provide helpful clinical strategies for oncologists using these drugs. .
免疫检查点抑制剂(ICI)的出现极大地改善了晚期肺癌患者的预后,但可能导致假性进展(PsP),这使临床评估和管理变得复杂。PsP表现为肿瘤暂时增大或出现新病灶等,持续治疗后影像学表现改善,多数患者临床症状无恶化。目前,PsP的早期诊断仍存在困难,其发生机制尚不清楚,缺乏良好的预测因素和相关生物标志物。本文综述了ICI在非小细胞肺癌中PsP的研究现状,旨在为使用这些药物的肿瘤学家提供有益的临床策略。