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[可手术早期非小细胞肺癌的围手术期靶向治疗]

[Perioperative Targeted Therapy for Operable, Early Stage NSCLC].

作者信息

Etman Samer, Saalfeld Felix, Aust Daniela, Sombati Monika, Decker Rahel, Schweipert Johannes, Baum Daniel, Wermke Martin, Ploenes Till

机构信息

Klinik für Thoraxchirurgie, Fachkrankenhaus Coswig GmbH, Coswig, Deutschland.

Department of Oncology, Carl Gustav Carus University Hospital, Dresden, Germany.

出版信息

Zentralbl Chir. 2024 Aug;149(S 01):S45-S51. doi: 10.1055/a-2353-0363. Epub 2024 Aug 13.

Abstract

Non-small cell lung cancer (NSCLC) is characterized by high recurrence rates in the early stages. In a German cohort, recurrence-free survival after 5 years was 62% (stage IA1), 40.7% (stage IIA) and 28% (stage IIIA). In addition to the perioperative use of immune checkpoint inhibitors, targeted tumor therapy is also making inroads as an innovation from the palliative setting into the early stages. Of particular relevance is the use of the EGFR inhibitor osimertinib, which has been shown to improve overall survival in the adjuvant setting. In this practice-oriented review, we briefly describe the current status of adjuvant targeted therapy and the associated testing and provide an outlook on further developments.

摘要

非小细胞肺癌(NSCLC)的特点是早期复发率高。在一个德国队列中,5年后的无复发生存率分别为62%(IA1期)、40.7%(IIA期)和28%(IIIA期)。除了围手术期使用免疫检查点抑制剂外,靶向肿瘤治疗作为一种从姑息治疗领域引入早期阶段的创新方法也正在取得进展。特别相关的是表皮生长因子受体(EGFR)抑制剂奥希替尼的使用,它已被证明在辅助治疗中可提高总生存率。在这篇以实践为导向的综述中,我们简要描述了辅助靶向治疗的现状及相关检测,并对未来的发展进行了展望。

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