Xiao Zhimin, Gu Yan
Department of Respiratory and Critical Care Medicine, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010107, China.
Zhongguo Fei Ai Za Zhi. 2025 Apr 20;28(4):309-318. doi: 10.3779/j.issn.1009-3419.2025.106.11.
Lung cancer is the cancer with the highest incidence and mortality rate worldwide. In addition to the diversified treatment and prolonged lifespan in view of the development of medical technology, the side effect of medicine should not be ignored. Drug-induced interstitial lung disease (DI-ILD) is also commonly encountered during this process, and ILD triggered by the treatment of lung cancer characterized by the inflammation and scarring of lung tissue after the antitumor treatment in lung cancer leads to a poor prognosis and high mortality. The diagnosis and treatment of ILD caused by anti-lung cancer agents remains challenging in clinical settings and requires joint efforts from multidisciplinary team (MDT). This review systematically updates the epidemiology, molecular pathogenesis, genomics/genetics study, diagnosis and treatment of ILD related to anti-lung cancer agents. By the integration of the latest evidences, the paper offers clinical work references for early diagnosis of ILD related to anti-lung cancer agents to enhance the survival and quality of life of the lung cancer patients. .
肺癌是全球发病率和死亡率最高的癌症。鉴于医学技术的发展,除了多样化的治疗和延长寿命外,药物的副作用也不容忽视。药物性间质性肺疾病(DI-ILD)在此过程中也很常见,肺癌治疗引发的ILD表现为肺癌抗肿瘤治疗后肺组织的炎症和瘢痕形成,导致预后不良和高死亡率。抗肺癌药物引起的ILD的诊断和治疗在临床环境中仍然具有挑战性,需要多学科团队(MDT)共同努力。本综述系统地更新了与抗肺癌药物相关的ILD的流行病学、分子发病机制、基因组学/遗传学研究、诊断和治疗。通过整合最新证据,本文为抗肺癌药物相关ILD的早期诊断提供临床工作参考,以提高肺癌患者的生存率和生活质量。