地方控制策略,以管理具有寡进性疾病的NSCLC
Antoine Mavrikios1, Jordi Remon2, Clément Quevrin3
1Department of Radiation Oncology, International Center for Thoracic Cancers (CICT), Gustave Roussy, F-94805 Villejuif, France.
Cancer treatment reviews
|September 10, 2023
概括
局部激进治疗 (LRT) 在高级非小细胞肺癌 (NSCLC) 中显示出对寡进性疾病 (OPD) 的承诺. 这些治疗方法可以通过在有限的进展病变中向耐药克隆来恢复全身治疗的敏感性.
科学领域:
- 在瘤学瘤学.
- 肺部病理学 肺部病理学
- 癌症研究 癌症研究
背景情况:
- 先进的非小细胞肺癌 (NSCLC) 治疗方法,包括免疫检查点阻断剂 (ICB) 和向疗法,增加了寡进性疾病 (OPD) 的发生率.
- 寡头渐进性疾病 (OPD) 被定义为在对寡头转移性疾病 (OMD) 的系统治疗期间,有限数量的病变的进展.
研究的目的:
- 审查当前关于高级NSCLC中OPD患者局部激素治疗 (LRT) 的文献.
- 讨论未来的临床试验设计和在NSCLC中管理OPD的挑战.
主要方法:
- 对高级NSCLC中OPD的LRT现有数据的文献综述.
- 对回顾性和初步前性随机数据的分析.
主要成果:
- 在OPD中LRT策略报告了有希望的结果,后期和初步前随机数据都令人鼓舞.
- 国际指导方针正在出现,以在NSCLC中标准化OMD和OPD的定义和管理.
结论:
- LRT可以根除OPD中的渐进性病变,可能恢复对全身治疗的敏感性.
- 需要进一步的临床和转化数据,以确定在患有OPD的晚期NSCLC患者中LRT输送的最佳场景.
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