非小细胞肺癌治疗策略的最新进展:现状与未来展望

Rahini Rajendran, Jayanthi Mathaiyan
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摘要

非小细胞肺癌(NSCLC)是一种普遍存在的肺癌。大多数患者在确诊时已出现转移。化疗和放疗被广泛用于治疗非小细胞肺癌的早期阶段,但癌症复发很常见,死亡率也很高。因此,亟需更新、更先进的疗法来控制非小细胞肺癌的复发和转移。目前,许多临床试验正在进行中,这些试验可以改善目前的治疗方案。靶向治疗和免疫治疗正在不断发展,以提高 NSCLC 患者的总生存率。然而,肿瘤部位的持续突变、耐药性、不良反应和肿瘤复发给治疗效果带来了挑战。许多处于第一和第二阶段临床试验的药物被证明对 NSCLC 突变有显著疗效。最近,美国食品和药物管理局批准了基因工程患者免疫细胞和嵌合抗原受体(CAR)改良T细胞用于治疗恶性肿瘤。本综述强调了用于改善 NSCLC 治疗效果的治疗方案和策略的最新进展。
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An Update on the Treatment Strategy for Non-Small Cell Lung Cancer: A Current Scenario and Future Perspective
Non-small cell lung cancer (NSCLC) is a ubiquitous form of lung cancer. Most patients already have metastasis at the time of diagnosis. Chemotherapy and radiotherapy are widely used to treat the early stages of NSCLC, but cancer relapses are common, and the mortality rate is also high. Hence, there is a definite need for newer and advanced therapies to control the recurrence and metastasis of NSCLC. Many clinical trials are underway, which could improve the current treatment options. Targeted therapy and immunotherapies are increasingly developing to expand the overall survival rate of NSCLC patients. Yet, the continuous mutation in the tumor site, drug resistance, adverse effects, and tumor recurrence pose several challenges to the efficacy of the treatment. Many drugs in phase I and II clinical trials prove significant effectiveness against NSCLC mutations. Combination therapy has shown enhanced progression-free and overall survival rates when compared to monotherapy. Recently, FDA-approved genetically engineered patients’ immune cells and chimeric antigen receptors (CAR) improved T-cells for the treatment of malignancies. This review emphasizes the recent development in the treatment regimen and strategy used for improving the outcomes of NSCLC.
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