The Role of Immunotherapy in Esophageal and Gastric Cancer

IF 3.2 3区 医学 Q2 ONCOLOGY Clinical colorectal cancer Pub Date : 2023-06-01 DOI:10.1016/j.clcc.2023.03.001
Hans Dedecker , Laure-Anne Teuwen , Timon Vandamme , Andreas Domen , Hans Prenen
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引用次数: 2

Abstract

Upper gastrointestinal tract tumors historically have a poor prognosis. The decision to treat esophageal or gastric cancers by surgery, radiotherapy, systemic therapy, or a combination of these treatment modalities should always be discussed multidisciplinary. The introduction of immunotherapy has drastically transformed the treatment landscape of multiple solid malignancies. Emerging data from early and late phase clinical trials suggests that the use of immunotherapies that target immune checkpoint proteins such as PD-1/PD-L1 result in superior overall survival in advanced, metastatic, or recurrent esophageal and gastric cancer, whether or not with specific molecular characteristics such as PD-L1 expression level or microsatellite instability. This review offers an overview of the most recent advances in the field of immunotherapy treatment in esophageal and gastric cancer.

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免疫治疗在食管癌和癌症中的作用
上消化道肿瘤历来预后不佳。通过手术、放疗、全身治疗或这些治疗方式的组合来治疗食道癌或胃癌的决定应始终进行多学科讨论。免疫疗法的引入彻底改变了多种实体恶性肿瘤的治疗格局。早期和晚期临床试验的新数据表明,使用靶向PD-1/PD-L1等免疫检查点蛋白的免疫疗法可提高晚期、转移性或复发性食管癌和癌症的总生存率,无论是否具有PD-L1表达水平或微卫星不稳定性等特定分子特征。本文综述了癌症免疫治疗领域的最新进展。
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来源期刊
Clinical colorectal cancer
Clinical colorectal cancer 医学-肿瘤学
CiteScore
5.50
自引率
2.90%
发文量
64
审稿时长
27 days
期刊介绍: Clinical Colorectal Cancer is a peer-reviewed, quarterly journal that publishes original articles describing various aspects of clinical and translational research of gastrointestinal cancers. Clinical Colorectal Cancer is devoted to articles on detection, diagnosis, prevention, and treatment of colorectal, pancreatic, liver, and other gastrointestinal cancers. The main emphasis is on recent scientific developments in all areas related to gastrointestinal cancers. Specific areas of interest include clinical research and mechanistic approaches; drug sensitivity and resistance; gene and antisense therapy; pathology, markers, and prognostic indicators; chemoprevention strategies; multimodality therapy; and integration of various approaches.
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