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非小细胞肺癌中的免疫相关毒性:当前的技术水平与新出现的临床挑战

Immune-Related Toxicity in NSCLC: Current State-of-the-Art and Emerging Clinical Challenges.

作者信息

O'Leary Caroline L, Pierce Nicole, Patel Sandip P, Naidoo Jarushka

机构信息

Department of Oncology, Beaumont Hospital, Beaumont RCSI Cancer Centre, Dublin, Ireland; RCSI University of Health Sciences, Dublin, Ireland.

Department of Medicine, University of California San Diego, San Diego, California.

出版信息

J Thorac Oncol. 2024 Mar;19(3):395-408. doi: 10.1016/j.jtho.2023.11.018. Epub 2023 Nov 25.

Abstract

Immune checkpoint inhibitors have become standard-of-care for the treatment of NSCLC; however, their use brings with it the risk of a unique set of inflammatory side effects, termed immune-related adverse events (irAEs). The recognition, diagnosis, and management of irAEs have become essential to clinical practice, with the potential for high-grade toxicities affecting treatment decision-making. This manuscript provides a state-of-the-art review of irAEs as they pertain to patients with NSCLC, by summarizing the common and severe toxicities of the standard immune checkpoint inhibitor regimens and clinical treatment settings relevant to this disease and future directions.

摘要

免疫检查点抑制剂已成为非小细胞肺癌(NSCLC)治疗的标准疗法;然而,其使用伴随着一系列独特的炎症性副作用风险,即免疫相关不良事件(irAE)。irAE的识别、诊断和管理已成为临床实践的关键,因为严重毒性可能影响治疗决策。本文通过总结标准免疫检查点抑制剂方案的常见和严重毒性以及与该疾病相关的临床治疗背景和未来方向,对与NSCLC患者相关的irAE进行了最新综述。

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