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Renal cell carcinoma 肾细胞癌
Q4 ONCOLOGY Pub Date : 2023-11-07 DOI: 10.1007/s12254-023-00918-w
Jasmin Spiegelberg
Summary Kidney cancer accounts for 5% and 3% of all adult malignancies in men and women. Renal cell carcinoma (RCC) accounts for approximately 80% of all kidney cancer. This year’s American Society of Clinical Oncology (ASCO) Annual Meeting was held from 2–6 June 2023, in Chicago, USA. Combination therapies for advanced RCC continue to be of interest at ASCO 2023, with the presentation of updated results from some ongoing studies. There were several studies presented at ASCO looking at treatments for non clear renal cell carcinoma. Immunotherapy- based therapy regimes are now the gold standard for rare histological subtypes of RCC.
肾癌分别占男性和女性所有成人恶性肿瘤的5%和3%。肾细胞癌(RCC)约占所有肾癌的80%。今年的美国临床肿瘤学会(ASCO)年会于2023年6月2日至6日在美国芝加哥举行。随着一些正在进行的研究的最新结果的发布,晚期RCC的联合治疗在ASCO 2023上继续受到关注。ASCO上有几项关于非透明肾细胞癌治疗的研究。以免疫疗法为基础的治疗方案现在是治疗罕见组织学亚型RCC的金标准。
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引用次数: 0
Genetic testing and management of prostate cancer patients with pathogenic germline variants 前列腺癌致病种系变异患者的基因检测和管理
Q4 ONCOLOGY Pub Date : 2023-11-03 DOI: 10.1007/s12254-023-00921-1
Katharina Reiter, Melanie R. Hassler
Summary Prostate cancer (PCa) is an androgen-receptor signaling-dependent disease with a subset of patients harboring pathogenic germline variants (PGVs) in genes essential for DNA repair. In the last decade, several guidelines and recommendations have been developed to define which PCa patients should receive genetic testing to identify individuals at higher risk due to inherited alterations and to facilitate personalized treatment strategies. Notably, the presence of specific germline alterations in carriers undergoing PCa screening has implications for screening strategies, and PGV carriers with advanced disease are eligible to receive targeted therapies such as poly-ADP-ribose polymerase inhibitors (PARPi) or immune checkpoint inhibitors (CKI) depending on the alterations encountered. Although less information is available on carriers with localized disease, several trials are addressing this specific patient population and will help to collect data and improve clinical management of PCa patients with PGVs.
前列腺癌(PCa)是一种雄激素受体信号依赖性疾病,一部分患者在DNA修复所必需的基因中含有致病性种系变异(PGVs)。在过去的十年中,已经制定了一些指南和建议,以确定哪些PCa患者应该接受基因检测,以识别由于遗传改变而具有较高风险的个体,并促进个性化治疗策略。值得注意的是,在接受前列腺癌筛查的携带者中存在特定的种系改变,这对筛查策略有影响,晚期疾病的PGV携带者有资格接受靶向治疗,如poly- adp核糖聚合酶抑制剂(PARPi)或免疫检查点抑制剂(CKI),这取决于所遇到的改变。虽然关于局限性疾病携带者的信息较少,但一些试验正在针对这一特定的患者群体,并将有助于收集数据和改善前列腺癌伴pgv患者的临床管理。
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引用次数: 0
Management of malignant hypercalcemia in cancer patients—a short review 癌症患者恶性高钙血症的处理——一个简短的综述
Q4 ONCOLOGY Pub Date : 2023-11-03 DOI: 10.1007/s12254-023-00919-9
Clemens Petrasch, Petra Marics, Thomas Spanberger
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引用次数: 1
Fifth-line HER2-directed therapy for metastatic adenocarcinoma of the gastroesophageal junction 5线her2定向治疗胃食管交界处转移性腺癌
Q4 ONCOLOGY Pub Date : 2023-10-27 DOI: 10.1007/s12254-023-00928-8
Sophie Roider-Schur, Sybille Machat, Leopold Öhler
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引用次数: 1
ASCO update—hepatocellular carcinoma and cholangiocellular carcinoma ASCO更新-肝细胞癌和胆管细胞癌
Q4 ONCOLOGY Pub Date : 2023-10-27 DOI: 10.1007/s12254-023-00929-7
Angela Djanani
Summary Two exciting phase 2 dates were presented at Asco. This results in a new phase III study for Hepatocelluar cancer that will be launched soon. With Cholangiocarcinoma there is a new substance that shows very good oberall response rates in a subgroup of patients.
Asco上公布了两个激动人心的2期数据。这将导致一项新的肝细胞癌III期研究即将启动。对于胆管癌,有一种新的物质在一个亚组患者中显示出非常好的总体反应率。
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引用次数: 0
Imaging and therapy targeting PSMA receptors for enhanced vision and precise treatment 针对PSMA受体的成像和治疗用于增强视力和精确治疗
Q4 ONCOLOGY Pub Date : 2023-10-19 DOI: 10.1007/s12254-023-00927-9
Sazan Rasul, Stephan Korn
Summary In Europe, it is estimated that more than 65,000 men die each year from the consequences of advanced and metastatic prostate cancer (PCa). Currently, approximately 3.2 million European men are living with PCa. While the majority of PCa patients have favorable outcomes, the 5‑year relative survival rate for those with metastatic PCa is only 32%. Recent advances in the diagnosis of PCa have been boosted by the introduction of the prostate-specific membrane antigen (PSMA), which might identify patients with the most aggressive form of the disease. Molecular imaging with positron emission tomography (PET) targeting PSMA receptors (PSMA-PET) has utterly revolutionized the diagnosis and staging of PCa; however, its application is still under debate. On the one hand, there has been little progress in recent years in surpassing the limitations of androgen deprivation therapy (ADT), the backbone of metastatic PCa treatment. Adding additional systemic therapy became standard in the last few decades. Current ADT is only transiently effective, and patients eventually progress during ADT treatment, a condition known as castration-resistant PCa (CRPC). On the other hand, radioligand therapy (RLT) targeting these PSMA receptors, most commonly used in the studies [ 177 Lu]lutetium-PSMA-617, has been available for this cancer stage for nearly a decade and has been recently incorporated into the European Association of Urology (EAU) guidelines as a robust treatment option for patients with metastatic CRPC.
在欧洲,估计每年有超过65000名男性死于晚期和转移性前列腺癌(PCa)。目前,大约有320万欧洲男性患有前列腺癌。虽然大多数PCa患者预后良好,但转移性PCa患者的5年相对生存率仅为32%。前列腺特异性膜抗原(PSMA)的引入促进了前列腺癌诊断的最新进展,这种抗原可能会识别出最具侵袭性的前列腺癌患者。靶向PSMA受体的正电子发射断层扫描(PET)分子成像彻底改变了前列腺癌的诊断和分期;然而,它的应用仍在争论中。一方面,近年来在突破雄激素剥夺疗法(ADT)的局限性方面进展甚微,雄激素剥夺疗法是转移性前列腺癌治疗的支柱。在过去的几十年里,增加额外的全身治疗成为标准。目前的ADT只是短暂有效,患者在ADT治疗期间最终会进展,这种情况被称为去势抵抗性PCa (CRPC)。另一方面,针对这些PSMA受体的放射配体治疗(RLT),最常用于研究[177][lutetium-PSMA-617],已经可用于该癌症阶段近十年,最近已被纳入欧洲泌尿外科协会(EAU)指南,作为转移性CRPC患者的一种强有力的治疗选择。
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引用次数: 1
Second-line treatment of HER2-positive advanced gastroesophageal adenocarcinoma her2阳性晚期胃食管腺癌的二线治疗
Q4 ONCOLOGY Pub Date : 2023-10-19 DOI: 10.1007/s12254-023-00924-y
Aysegül Ilhan-Mutlu, Ewald Wöll
Summary There is an unmet need for the treatment of patients with HER2-positive gastroesophageal tumors whose disease progressed on a first-line trastuzumab-based regimen. Several prospective trials took a targeted approach and evaluated various HER2-targeted agents as second-line therapy. However, these trials failed to demonstrate a survival benefit and were negative in primary endpoints. Recently, the antibody–drug conjugate trastuzumab deruxtecan has shown promise as a second-line treatment in patients with HER2-positive metastatic gastroesophageal tumors, with a remarkable overall response rate and a relevant prolongation of prognostic outcome. Several clinical trials will introduce more targeted therapy approaches with novel structures, which will hopefully further extend patients’ survival. This mini-review briefly summarizes the past practice of second-line treatment of HER2-positive gastroesophageal tumor patients, describes current knowledge based on recently published studies, and provides a short overview on the novel anti-HER2 compounds that are currently being clinically investigated and could yield positive results in the near future.
对于her2阳性胃食管肿瘤进展的患者,一线曲妥珠单抗治疗方案的治疗需求尚未得到满足。一些前瞻性试验采用靶向方法,并评估了各种her2靶向药物作为二线治疗。然而,这些试验未能证明生存获益,并且在主要终点为阴性。最近,抗体-药物偶联曲妥珠单抗德鲁西替康作为her2阳性转移性胃食管肿瘤患者的二线治疗显示出希望,具有显着的总缓解率和相关的预后延长。一些临床试验将引入更多具有新结构的靶向治疗方法,这有望进一步延长患者的生存期。本文简要总结了过去her2阳性胃食管肿瘤患者的二线治疗实践,描述了基于最近发表的研究的现有知识,并简要概述了目前正在临床研究并可能在不久的将来产生阳性结果的新型抗her2化合物。
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引用次数: 1
Prognostic factors of long-term survivors with unresectable pancreatic cancer: a retrospective analysis 不可切除胰腺癌长期幸存者的预后因素:回顾性分析
Q4 ONCOLOGY Pub Date : 2023-10-17 DOI: 10.1007/s12254-023-00917-x
Giuseppe A. Colloca, Antonella Venturino
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引用次数: 0
Cellular and humoral responses to fourth SARS-CoV-2 vaccination in a real-life cohort of patients with cancer 在现实生活中的癌症患者队列中,对第四次SARS-CoV-2疫苗的细胞和体液反应
Q4 ONCOLOGY Pub Date : 2023-10-13 DOI: 10.1007/s12254-023-00916-y
Julia M. Berger, Pia Gattinger, Maximilian J. Mair, Anna S. Berghoff, Rudolf Valenta, Matthias Preusser
Summary This study assessed cellular and humoral responses to the fourth dose of severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) vaccines in patients with malignant diseases. Even though, clear indications of humoral, cellular, or combined response was evident in most patients undergoing active treatment, high intra- and interpatient heterogeneity in response patterns was observed.
本研究评估了恶性疾病患者对第四剂SARS-CoV-2疫苗的细胞和体液反应。尽管在大多数接受积极治疗的患者中明显存在体液、细胞或联合反应的明确适应症,但观察到患者体内和患者间反应模式的高度异质性。
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引用次数: 0
Long-term survival and follow-up care after cancer in Austria 奥地利癌症后的长期生存和随访护理
Q4 ONCOLOGY Pub Date : 2023-09-01 DOI: 10.1007/s12254-023-00895-0
Alexandra Böhm
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引用次数: 0
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memo - Magazine of European Medical Oncology
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