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非小细胞肺癌术后多元化辅助治疗模式的研究进展
引用本文:姜 怡,刘苓霜. 非小细胞肺癌术后多元化辅助治疗模式的研究进展[J]. 现代肿瘤医学, 2023, 0(3): 552-556. DOI: 10.3969/j.issn.1672-4992.2023.03.032
作者姓名:姜 怡  刘苓霜
作者单位:上海中医药大学附属龙华医院,上海 200032
基金项目:上海市卫生和计划生育委员会面上项目(编号:201840158);上海申康医院发展中心新兴前沿技术联合攻关项目(编号:SHDC12018124);上海市科学技术委员会科研项目(编号:19401971200);刘嘉湘国医大师传承工作室建设项目(编号:DSGZS-2017002)
摘    要:可手术切除Ⅱ-Ⅲa及Ⅲb(T3N2M0)期(IASLC/UICC第8版TNM分期)非小细胞肺癌(non-small cell lung cancer,NSCLC)推荐术后辅助化疗,但化疗毒性难以避免,且患者生存获益有限,仍具有较高的复发转移和死亡风险。在精准医疗时代,表皮生长因子受体酪氨酸激酶抑制剂(epidermal growth factor receptor tyrosine kinase inhibitor,EGFR-TKI)开启个体化辅助治疗的新篇章。本文将对NSCLC术后辅助化疗、放疗、EGFR-TKI靶向治疗、抗血管生成治疗、免疫检查点抑制剂治疗及中医药治疗进行综述,多元化辅助治疗模式的探索有望延缓术后复发转移,使NSCLC患者生存获益最大化。

关 键 词:非小细胞肺癌  完全性切除  辅助治疗

Research progress of diversified adjuvant therapy models for non-small cell lung cancer
JIANG Yi,LIU Lingshuang. Research progress of diversified adjuvant therapy models for non-small cell lung cancer[J]. Journal of Modern Oncology, 2023, 0(3): 552-556. DOI: 10.3969/j.issn.1672-4992.2023.03.032
Authors:JIANG Yi  LIU Lingshuang
Affiliation:Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China.
Abstract:Complete resection of stage Ⅱ-Ⅲa and Ⅲb (T3N2M0) (IASLC/UICC TNM staging,the 8th edition) non-small cell lung cancer (NSCLC) is recommended for postoperative adjuvant chemotherapy,but chemotherapy toxicity is unavoidable,and survival benefits are limited,still have a high risk of recurrence,metastasis and death.In the era of precision medicine,targeted therapy with epidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKI) has opened a new chapter in individualized adjuvant therapy.We focus on adjuvant chemotherapy,radiotherapy,EGFR-TKI targeted therapy,anti-angiogenesis therapy,immune checkpoint inhibitors and traditional Chinese medicine treatment to review.The exploration of diversified adjuvant therapy models is expected to delay postoperative recurrence and metastasis,and maximize the survival benefits of NSCLC patients.
Keywords:non-small cell lung cancer   complete resection   adjuvant therapy
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