临床肿瘤学杂志

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非小细胞肺癌EGFR-TKI耐药治疗策略再认识

何圆 综述,尤长宣 审校   

  1. 510515 广州 南方医科大学南方医院肿瘤科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-09-30 发布日期:2015-09-30
  • 通讯作者: 尤长宣

Re-recognition of treatments in patients of non-small cell lung cancer harboring EGFR-TKI resistance

HE Yuan, YOU Changxuan   

  1. Department of Oncology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
  • Received:1900-01-01 Revised:1900-01-01 Online:2015-09-30 Published:2015-09-30
  • Contact: YOU Changxuan

摘要: 【摘 要】肺癌是全球范围内首位癌性死亡因素,发病率、死亡率高,预后欠佳。作为一种分子靶向治疗手段,表皮生长因子酪氨酸激酶抑制剂(EGFR-TKI)为EGFR突变的非小细胞肺癌(NSCLC)患者提供了一个新的治疗方向,且疗效显著,然而不可避免的是EGFR-TKI耐药问题。鉴于Ⅰ/Ⅱ期临床试验结果,目前有关EGFR-TKI耐药治疗策略包括:EGFRTKI停药、继续EGFR-TKI、EGFRTKI+局部治疗、EGFRTKI+化疗、EGFR+其他分子靶向药物治疗、EGFRTKI再尝试、化疗、化疗+其他分子靶向药物治疗、EGFRTKI+免疫治疗等,前景值得期待。本文就当前NSCLC患者EGFRTKI耐药治疗进展作一综述。

Abstract: Globally,lung cancer is the leading cause of cancerrelated death with high morbidity, mortality and poor prognosis. The epidermal growth factor receptor-tyrosine kinase inhibitor(EGFR-TKI),a means of molecularly targeted therapy,offers a novel approach for the treatment of patients with NSCLC harboring EGFR mutation effectively. However,the problem of EGFRTKI resistance exists inevitably. A number of promising strategies based on different mechanisms have now been evaluated in phase Ⅰ/Ⅱ trials. These include EGFR-TKI discontinuation,EGFR-TKI continuing,EGFR-TKI+local treatment,EGFR+other molecularly targeted drugs,EGFR-TKI+chemotherapy,EGFR-TKI rechallenge,chemotherapy,chemotherapy+other molecularly targeted drugs and EGFR-TKI+immunotherapy. The purpose of this paper will draw a summary on the progress of treatments in patients with NSCLC harboring EGFR-TKI resistance.

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