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管理高级基底细胞癌:皮肤病学临床医生的指南
Joshua Burshtein1, Todd Schlesinger2
1Dr. Burshtein is with the Department of Dermatology at the University of Illinois-Chicago in Chicago, Illinois.
The Journal of clinical and aesthetic dermatology
|March 26, 2025
概括
刺抑制剂 (HHI) 是先进的基底细胞癌 (BCC) 的第一线治疗方法. 如果HHI无效或不能耐受,Cemiplimab是一种替代方案,为复杂的BCC病例提供了新的选择.
科学领域:
- 在瘤学瘤学.
- 皮肤病学 皮肤病学
背景情况:
- 基底细胞癌 (BCC) 是最常见的皮肤癌.
- 先进的BCCs (laBCCs和mBCCs) 在手术或放射治疗不是选择时会带来治疗挑战.
研究的目的:
- 审查目前治疗高级BCC的治疗选择.
- 概述治疗策略,以优化患者护理.
主要方法:
- 使用关键词进行全面的文献搜索:"高级基底细胞癌"",治疗"",刺抑制剂"",vismodegib"",sonidegib"",PD1抑制剂"和"cemiplimab".
- 包括涉及审查主题的研究.
主要成果:
- 包括vismodegib和sonidegib在内的刺抑制剂 (HHIs) 显示出作为先进BCC的第一线治疗方法的有效性.
- PD-1 抑制剂塞米普利马布对那些失败或不能容忍高血压阻塞的患者有效.
- 副作用可能会限制HHI的效用.
结论:
- 晚期BCC的治疗是复杂的.
- 对于laBCC和mBCC,HHI是第一线治疗.
- 塞米普利马布作为一种有价值的替代治疗选择.
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