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第三代TKIs在EGFR突变非小细胞肺癌中的应用

Application of Third-generation TKIs in EGFR-mutated Non-small Cell Lung Cancer

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【作者】 许雯雯

【Author】 XU Wenwen;ZHU Yuxi;Department of Oncology, The First Affiliated Hospital of Chongqing Medical University;Department of Oncology, Jinshan Hospital, The First Affiliated Hospital of Chongqing Medical University;

【机构】 重庆重庆医科大学附属第一医院肿瘤科重庆重庆医科大学附属第一医院金山医院肿瘤科

【摘要】 肿瘤治疗的个体化带来了临床实践变革。近年来,表皮生长因子受体酪氨酸激酶抑制剂(EGFR-TKI)对EGFR阳性突变的非小细胞肺癌显示出良好的抗肿瘤活性。第三代EGFR-TKIs相对于一代EGFR-TKI,显著提高了EGFR突变晚期非小细胞肺癌治疗的有效率、无进展生存期及总生存期,且对脑转移病灶有良好的疗效,对可手术的EGFR突变非小细胞肺癌术后辅助治疗也体现了无病生存获益,在联合放疗应用于局部晚期及晚期寡转移EGFR突变非小细胞肺癌中优势明显。

【Abstract】 The individualization of cancer treatment has brought about revolution in clinical practice. In recent years, EGFR-TKI has shown good anti-tumor activity in non-small cell lung cancer with EGFR positive mutation. Compared with the first-generation EGFR-TKI, the third-generation EGFR-TKI significantly increased the effective rate, progression-free survival and overall survival of advanced non-small cell lung cancer with EGFR mutation, especially the brain metastases. And the third-generation EGFR-TKI also showed the benefits of disease-free survival as the post-operative adjuvant therapy for operable EGFR-mutated nonsmall cell lung cancer. Moreover, the third-generation EGFR-TKI in combination with radiotherapy showed obvious advantages in the treatment of locally advanced and advanced oligometastatic EGFR-mutated nonsmall cell lung cancer.

  • 【文献出处】 肿瘤防治研究 ,Cancer Research on Prevention and Treatment , 编辑部邮箱 ,2021年12期
  • 【分类号】R734.2
  • 【被引频次】5
  • 【下载频次】1094
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