Pumpalova Yoanna S
Division of Hematology and Oncology, Department of Internal Medicine, Columbia University Irving Medical Center, New York, New York.
Clin Colon Rectal Surg. 2024 Jun 25;38(3):229-236. doi: 10.1055/s-0044-1787826. eCollection 2025 May.
We have made steady gains in improving overall survival in patients with metastatic, unresectable, colon cancer in the last 5 to 10 years. The backbone of systemic treatment for most patients remains combination chemotherapy, but the field is becoming increasingly biomarker driven, with exciting new targeted therapies on the horizon. This review is organized in sections corresponding to currently relevant biomarkers in colon cancer and will summarize first-, second-, and third-line standard of care for metastatic, unresectable, colon cancer. The last section is intended to introduce the reader to promising agents and novel therapeutic strategies currently under investigation.
在过去5到10年中,我们在改善转移性、不可切除结肠癌患者的总生存率方面取得了稳步进展。对大多数患者来说,全身治疗的主要方法仍然是联合化疗,但该领域正越来越多地由生物标志物驱动,有令人兴奋的新靶向疗法即将出现。本综述按与结肠癌当前相关的生物标志物进行章节编排,将总结转移性、不可切除结肠癌的一线、二线和三线标准治疗方案。最后一部分旨在向读者介绍目前正在研究的有前景的药物和新型治疗策略。