胃癌的新辅助化疗:不断发展的方法和支持证据
Young Jae Kim1, Hyung-Don Kim2, Jaewon Hyung1
1Department of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Journal of gastric cancer
|January 10, 2026
概括
新辅助和外科治疗,包括免疫检查点抑制剂,对局部晚期胃癌显示有前途. 使用生物标志物的个性化治疗是改善患者治疗结果的关键.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
背景情况:
- 新辅助和周围手术疗法对于局部晚期胃癌 (LAGC) 越来越重要.
- 像PRODIGY和RESOLVE这样的III期试验支持亚洲的新辅助化疗.
- 马特霍恩试验将免疫检查点抑制剂 (ICI) 引入了外科手术期间的治疗.
研究的目的:
- 对LAGC进行关键的外科手术期试验进行审查.
- 突出ICI和向治疗的不断变化的作用.
- 解决术后治疗策略中的关键问题.
主要方法:
- 对具有里程碑意义的第三阶段研究 (PRODIGY,RESOLVE,MATTERHORN) 的审查.
- 在亚洲人群中分析化疗方案 (甲,莱可沃林,氧沙,多塞塔克塞尔).
- 检查新兴的向疗法和免疫检查点抑制剂.
主要成果:
- 新辅助化疗已在亚洲建立,但像中性质衰竭这样的毒性需要注意.
- 免疫检查点抑制剂在外科手术期间显示出潜力.
- 作为替代终点的病理反应需要进一步验证.
结论:
- 使用预后和分子标记 (临床阶段,病理反应,ctDNA) 个性化术后治疗至关重要.
- 优化患者选择和了解术后治疗的必要性/持续时间是关键的下一步.
- 需要进一步的研究来完善LAGC的周围手术策略.
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