黑色素瘤
Dirk Schadendorf1, Alexander C J van Akkooi2, Carola Berking3
1Department of Dermatology, University Hospital Essen, Essen, Germany; German Cancer Consortium, Heidelberg, Germany.
Lancet (London, England)
|September 22, 2018
概括
由于向治疗和免疫治疗,先进的黑色素瘤治疗得到了显著改善. 这些创新为长期控制和治疗晚期皮肤黑色素瘤提供了新的希望.
科学领域:
- 癌症学
- 皮肤病学
- 癌症研究
背景情况:
- 皮肤黑色素瘤是全球严重的健康问题,每年造成大量死亡.
- 几十年来,晚期黑色素瘤的治疗选择有限,临床试验历史上没有成功.
- 生物理解和治疗的近期进展彻底改变了黑色素瘤的治疗方法.
研究的目的:
- 审查治疗晚期皮肤黑色素瘤的变革性进展.
- 突出新型治疗药物和策略的影响.
主要方法:
- 对晚期黑色素瘤的最新临床试验和生物研究进行了回顾.
- 针对性治疗的分析,包括BRAF抑制剂和MEK抑制剂.
- 对免疫疗法的评估,特别是对抗PD-1抗体等检查点调节剂.
主要成果:
- 针对性治疗 (BRAF/ MEK 抑制剂) 显著改善了 BRAF V600 突变患者的反应率和整体存活率.
- 检查点抑制剂 (抗PD-1) 在局部疾病中表现出临床成功,延长了无复发和整体存活时间.
- 晚期黑色素瘤是开发固体癌症新疗法的典范.
结论:
- 创新治疗已经将晚期黑色素瘤转变为可控的疾病,
- 针对性药物和免疫疗法为长期瘤控制和潜在的治愈提供了希望.
- 在晚期黑色素瘤的持续研究有助于更广泛的瘤进展.
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