为了治疗转移性非小细胞肺癌,内科肿瘤学家对病理学家的期望是什么?

G. Hachem
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摘要

在过去的十年里,研究人员在我们对癌症生物学和管理的理解方面取得了重大进展。他们能够确定肺癌发生的许多关键驱动因素,从而发现了针对个性化药物的靶向治疗新模式。从同样的角度来看,许多临床试验以及免疫疗法都根据肿瘤的突变状态和某些受体或配体的表达来包括患者。因此,病理诊断具有很高的临床相关性。此外,在多学科团队讨论中,病理学家正在成为一名综合性和必要的成员,通过更发达和结构化的非小细胞肺癌癌症分类丰富了我们的肿瘤学知识。在这篇综述中,我们将讨论并列出医学肿瘤学家希望在病理报告中发现的内容,以充分治疗患有转移性非小细胞肺癌癌症的患者。
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What Does the Medical Oncologist Expect from the Pathologist in Order to Treat a Metastatic Non-Small Cell Lung Cancer?
In the last decade, researchers provided us with significant advances in our understanding of lung cancer biology and management. They were able to identify many key driver events in lung carcinogenesis, resulting in the discovery of new modalities of targeted therapies towards a personalized medicine. In the same perspective, many clinical trials, together with the immunotherapy are including the patients according to the tumor mutational status and the expression of certain receptors or ligands. Thus, the pathological diagnosis is of high clinical relevance. Moreover, the pathologist is becoming an integrated and essential member during the multi-disciplinary team discussions, enriching our oncologic knowledge with a more developed and structured classification of non-small cell lung cancer. Here, in this review, we will discuss and list what Medical Oncologists are expecting to find in a pathology report in order to adequately treat the patients suffering from a metastatic non-small cell lung cancer.
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