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食管癌新辅助免疫治疗进展的叙述性综述:分子生物标志物与未来方向

A narrative review on advances in neoadjuvant immunotherapy for esophageal cancer: Molecular biomarkers and future directions.

作者信息

Wang Wenjing, Ye Lisha, Li Huihui, Chen Wei, Hong Wei, Mao Weimin, Xu Xiaoling

机构信息

Department of Medical Thoracic Oncology, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.

Postgraduate Training Base Alliance, Wenzhou Medical University, Wenzhou, China.

出版信息

Int J Cancer. 2025 Jan 1;156(1):20-33. doi: 10.1002/ijc.35153. Epub 2024 Sep 14.

Abstract

Esophageal cancer has a poor prognosis and survival rate due to its high incidence in Asia, lack of early symptoms and limited treatment options. In recent years, many clinical trials have demonstrated that immunotherapy has greatly improved the survival of patients with esophageal cancer. In addition, the combination of neoadjuvant immunotherapy with other popular therapeutic regimens has shown good efficacy and safety. In this review, we summarize the progress of clinical trials and some breakthroughs in neoadjuvant immunotherapy for esophageal cancer in recent years and suggest the possibility of multimodal neoadjuvant immunotherapy regimens, as well as directions for future development.

摘要

由于食管癌在亚洲发病率高、缺乏早期症状且治疗选择有限,其预后和生存率较差。近年来,许多临床试验表明免疫疗法极大地改善了食管癌患者的生存率。此外,新辅助免疫疗法与其他常用治疗方案的联合应用已显示出良好的疗效和安全性。在本综述中,我们总结了近年来食管癌新辅助免疫疗法的临床试验进展和一些突破,并提出了多模式新辅助免疫疗法方案的可能性以及未来的发展方向。

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