Targeted Therapy of Advanced Non-Small Cell Lung Cancer

Yun-Gyoo Lee, Hyun-Il Gil, Soo Jeong Kim, Hyunjoo Lee, Heerim Nam, Soo-Youn Ham, Du-Young Kang
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Abstract

Lung cancer is the leading cause of cancer death in Republic of Korea. After their initial diagnosis, only 10-20% of patients with advanced non-small cell lung cancer (NSCLC) survive for 5 years of longer. Given enormous advances in therapeutics such as novel targeted therapies and immunotherapies, survival rates are improving for advanced patients with NSCLC; 5-year survival rates range from 15% to 50%, contingent upon the biomarker. Detection of the specific molecular alteration as biomarker is thus crucial for identifying subgroups of NSCLC that contain therpapeutically targetable oncogenic drivers. This review examines the process of diagnosing lung adenocarcinoma with dominant biomarkers in order to customize treatment with appropriate targeted therapy.
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晚期非小细胞肺癌的靶向治疗
肺癌是大韩民国癌症死亡的主要原因。晚期非小细胞肺癌(NSCLC)患者在初次确诊后,只有 10-20% 的患者能存活 5 年以上。鉴于新型靶向疗法和免疫疗法等疗法的巨大进步,晚期非小细胞肺癌患者的存活率正在提高;5 年存活率从 15%到 50%不等,取决于生物标记物。因此,检测作为生物标志物的特定分子改变对于确定包含可靶向治疗的致癌驱动因素的 NSCLC 亚组至关重要。本综述探讨了利用优势生物标志物诊断肺腺癌的过程,以便采用适当的靶向疗法进行定制治疗。
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