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[辅助化疗和靶向治疗在Ⅰ期肺腺癌术后患者中的应用进展]

[Advances in the Application of Adjuvant Chemotherapy and Targeted Therapy 
in Postoperative Patients with Stage I Lung Adenocarcinoma].

作者信息

Zhao Ke, Guo Chao, Chen Yeye, Li Shanqing

机构信息

Department of Thoracic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science &
Peking Union Medical College, Beijing 100730, China.

出版信息

Zhongguo Fei Ai Za Zhi. 2024 Oct 20;27(10):777-784. doi: 10.3779/j.issn.1009-3419.2024.101.26.

Abstract

Lung cancer is one of the main causes of cancer burden and death in China, with nearly 800,000 newly diagnosed lung cancer patients each year, nearly half of whom are lung adenocarcinoma (LUAD) patients. According to current clinical guidelines, surgery is the main treatment for stage I LUAD patients, but the 5-year overall survival rate of stage I LUAD patients alone is still unsatisfactory, about 73%-90%, indicating that a considerable number of patients require other means to improve survival benefits. Chemotherapy and targeted therapy have achieved great success in the treatment of locally advanced and metastatic LUAD patients, but there is still controversy over whether they can benefit stage I LUAD postoperative patients. Under the circumstances, many researchers have paid attention to this issue and made beneficial explorations. This review provides a brief review of the factors that affect the acceptance of adjuvant chemotherapy and targeted therapy in stage I LUAD postoperative patients, as well as the relevant clinical research on the application of adjuvant chemotherapy and targeted therapy in stage I LUAD postoperative patients, in order to gain a broader understanding of the latest developments in this field and find new breakthroughs to promote sustained research in this field.
.

摘要

肺癌是中国癌症负担和死亡的主要原因之一,每年有近80万新确诊的肺癌患者,其中近一半是肺腺癌(LUAD)患者。根据目前的临床指南,手术是I期LUAD患者的主要治疗方法,但仅I期LUAD患者的5年总生存率仍不尽人意,约为73%-90%,这表明相当一部分患者需要其他方法来提高生存获益。化疗和靶向治疗在局部晚期和转移性LUAD患者的治疗中取得了巨大成功,但它们是否能使I期LUAD术后患者获益仍存在争议。在这种情况下,许多研究人员关注了这个问题并进行了有益的探索。本综述简要回顾了影响I期LUAD术后患者接受辅助化疗和靶向治疗的因素,以及辅助化疗和靶向治疗在I期LUAD术后患者中应用的相关临床研究,以便更全面地了解该领域的最新进展,并找到新的突破点,推动该领域的持续研究。

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