化疗序贯EGFR-TKIs一线治疗晚期非小细胞肺癌的临床观察
王彤晖 ( 青海大学研究生院 )
姬发祥 ( 青海大学附属医院 )
https://doi.org/10.37155/2661-4766-0502-15Abstract
肺癌是中国及全球范围内最普遍的癌症之一,其发病率和致死率逐年增加,而在肺癌中,最常见的 病理类型为非小细胞肺癌( NSCLC)约占80%~85%。亚洲非小细胞肺癌( NSCLC)患者中 EGFR基因的突变率约 为40%~60%, EGFR基因突变主要为外显子19的框内缺失( 45%为Ex19del)和外显子21的错义突变( 40%~45%为 21 L858R )。所以,对于 EGFR基因突变的晚期非小细胞肺癌( NSCLC)治疗模式的研究是目前临床上最关键的工 作。本文拟探讨化疗序贯EGFR-TKIs与单药EGFR-TKIs一线治疗EGFR基因19del和L858R突变的晚期非小细胞肺癌 ( NSCLC)的临床效果,探索上述两种治疗方案的优点及局限性,从而指导临床用药。
Keywords
非小细胞肺癌;化学治疗;靶向治疗;序贯治疗;治疗效果;发展方向Full Text
PDFReferences
[1]Xia C, Dong X, Li H, Cao M, Sun D, He S, Yang F,
Yan X, Zhang S, Li N, Chen W. Cancer statistics in China and
United States, 2022: profiles, trends, and determinants. Chin
Med J (Engl). 2022 Feb 9;135(5):584-590.
[2]原发性肺癌诊疗规范( 2018年版) [J].肿瘤合治疗
电子杂志, 2019,5(3):100-120.
[3]Wu YL, Lee JS, Thongprasert S, et al.Intercalatedcombination of chemotherapy and erlotinib for patients with
advanced stage nonsmall-cell lung cancer (FASTACT-2) :a
randomised, doubleblind trial[J].Lancet Oncol, 2013, 14
(8) :777-786.
[4]Yan H, Li Q, Wang W, et al.Systems assessment of
intercalated combination of chemotherapy and EGFR TKIs
versus chemotherapy or EGFR TKIs alone in advanced
NSCLC patients[J].Sci Rep, 2015, 5:53-55.
[5]Zwitter M, Stanic K, Rajer M, et al.Intercalated
therapy with gemcitabine, cisplatin and erlotinib may be
superior to TKI alone for patients with advanced EGFR
mutated NSCLC[J].J Thorac Oncol, 2015, 3:03-017.
[6]陈鹏飞.化疗序贯EGFR-TKIs治疗晚期非小细胞肺
癌的疗效分析[J].中国医药科学,2019,9(14):210-212.
[7]赖敏,莫诗瑶.晚期非小细胞性肺癌EGFR敏感突变
患者一线化疗后序贯EGFR-TKIs的疗效[J].包头医学院学
报,2018,34(04):44-46.DOI:10.16833/j.cnki.jbmc.2018.04.18-
19
[8]李楠,李洁瑶,杨双宁,郭温馨,张晓娟,王丽萍.培美曲
塞联合卡铂序贯吉非替尼治疗晚期肺腺癌的效果[J].河南
医学研究,2020,29(10):1756-1759.
Yan X, Zhang S, Li N, Chen W. Cancer statistics in China and
United States, 2022: profiles, trends, and determinants. Chin
Med J (Engl). 2022 Feb 9;135(5):584-590.
[2]原发性肺癌诊疗规范( 2018年版) [J].肿瘤合治疗
电子杂志, 2019,5(3):100-120.
[3]Wu YL, Lee JS, Thongprasert S, et al.Intercalatedcombination of chemotherapy and erlotinib for patients with
advanced stage nonsmall-cell lung cancer (FASTACT-2) :a
randomised, doubleblind trial[J].Lancet Oncol, 2013, 14
(8) :777-786.
[4]Yan H, Li Q, Wang W, et al.Systems assessment of
intercalated combination of chemotherapy and EGFR TKIs
versus chemotherapy or EGFR TKIs alone in advanced
NSCLC patients[J].Sci Rep, 2015, 5:53-55.
[5]Zwitter M, Stanic K, Rajer M, et al.Intercalated
therapy with gemcitabine, cisplatin and erlotinib may be
superior to TKI alone for patients with advanced EGFR
mutated NSCLC[J].J Thorac Oncol, 2015, 3:03-017.
[6]陈鹏飞.化疗序贯EGFR-TKIs治疗晚期非小细胞肺
癌的疗效分析[J].中国医药科学,2019,9(14):210-212.
[7]赖敏,莫诗瑶.晚期非小细胞性肺癌EGFR敏感突变
患者一线化疗后序贯EGFR-TKIs的疗效[J].包头医学院学
报,2018,34(04):44-46.DOI:10.16833/j.cnki.jbmc.2018.04.18-
19
[8]李楠,李洁瑶,杨双宁,郭温馨,张晓娟,王丽萍.培美曲
塞联合卡铂序贯吉非替尼治疗晚期肺腺癌的效果[J].河南
医学研究,2020,29(10):1756-1759.
Copyright © 2023 王彤晖,姬发祥 Publishing time:2023-04-30
This work is licensed under a Creative Commons Attribution 4.0 International License