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肺癌:当前疗法与新的靶向治疗。

Lung cancer: current therapies and new targeted treatments.

机构信息

Department of Medicine, Division of Medical Oncology and Department of Pathology, University of Colorado Cancer Center, Denver, CO, USA; International Association for the Study of Lung Cancer, Aurora, CO, USA.

Division of Oncology, Department of Oncology, San Luigi Hospital-Orbassano, University of Torino, Orbassano, Italy.

出版信息

Lancet. 2017 Jan 21;389(10066):299-311. doi: 10.1016/S0140-6736(16)30958-8. Epub 2016 Aug 27.

Abstract

Lung cancer is the most frequent cause of cancer-related deaths worldwide. Every year, 1·8 million people are diagnosed with lung cancer, and 1·6 million people die as a result of the disease. 5-year survival rates vary from 4-17% depending on stage and regional differences. In this Seminar, we discuss existing treatment for patients with lung cancer and the promise of precision medicine, with special emphasis on new targeted therapies. Some subgroups, eg-patients with poor performance status and elderly patients-are not specifically addressed, because these groups require special treatment considerations and no frameworks have been established in terms of new targeted therapies. We discuss prevention and early detection of lung cancer with an emphasis on lung cancer screening. Although we acknowledge the importance of smoking prevention and cessation, this is a large topic beyond the scope of this Seminar.

摘要

肺癌是全球癌症相关死亡的最常见原因。每年有 180 万人被诊断患有肺癌,其中 160 万人因该病死亡。5 年生存率因分期和地区差异而有所不同,从 4%到 17%不等。在本次研讨会上,我们讨论了肺癌患者的现有治疗方法和精准医学的前景,特别强调了新的靶向治疗。一些亚组,例如身体状况不佳的患者和老年患者,没有专门讨论,因为这些群体需要特殊的治疗考虑,而且在新的靶向治疗方面尚未建立框架。我们讨论了肺癌的预防和早期发现,重点是肺癌筛查。尽管我们认识到预防和戒烟的重要性,但这是一个超出本次研讨会范围的大话题。

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