国际肿瘤学杂志 ›› 2024, Vol. 51 ›› Issue (7): 468-473.doi: 10.3760/cma.j.cn371439-20231130-00077

• 综述 • 上一篇    下一篇

肺大细胞神经内分泌癌临床分子诊断和治疗研究进展

韩艺1, 张同梅2,3, 齐菲2,3, 张泳4()   

  1. 1陕西中医药大学第一临床医学院,咸阳 712046
    2首都医科大学附属北京胸科医院综合科,北京 101149
    3首都医科大学基础临床联合实验室,北京 101149
    4陕西中医药大学附属医院胸心外科,咸阳 712000
  • 收稿日期:2023-11-30 修回日期:2024-03-27 出版日期:2024-07-08 发布日期:2024-08-14
  • 通讯作者: 张泳,Email: zhangyong126126@126.com
  • 基金资助:
    北京市属医学科研院所公益发展改革试点项目(JYY2023-14);北京市属医学科研院所公益发展改革试点项目(JYY2023-15)

Advances in clinical molecular diagnosis and treatment of pulmonary large cell neuroendocrine carcinoma

Han Yi1, Zhang Tongmei2,3, Qi Fei2,3, Zhang Yong4()   

  1. 1First School of Clinical Medicine of Shaanxi University of Chinese Medicine, Xianyang 712046, China
    2Department of General, Beijing Chest Hospital, Capital Medical University, Beijing 101149, China
    3Laboratory for Clinical Medicine, Capital Medical University, Beijing 101149, China
    4Department of Cardiothoracic Surgery, Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang 712000, China
  • Received:2023-11-30 Revised:2024-03-27 Online:2024-07-08 Published:2024-08-14
  • Contact: Zhang Yong, Email: zhangyong126126@126.com
  • Supported by:
    Beijing Municipal Public Welfare Development and Reform Pilot Project for Medical Research Institutes(JYY2023-14);Beijing Municipal Public Welfare Development and Reform Pilot Project for Medical Research Institutes(JYY2023-15)

摘要:

肺大细胞神经内分泌癌(LCNEC)是一类少见的恶性神经内分泌肿瘤,总体预后不佳,晚期患者中位总生存期仅1年左右。随着分子诊断、靶向治疗和免疫治疗的应用,非小细胞肺癌患者预后显著改善,然而LCNEC诊疗的进展相对缓慢,目前尚无统一标准的诊断、治疗方案。LCNEC临床分子诊断和治疗研究具有重要意义,探讨LCNEC诊断、治疗相关研究进展,可为改善LCNEC现存临床诊断、治疗困境提供参考。

关键词: 肺肿瘤, 癌, 神经内分泌, 病理学, 分子, 肿瘤治疗方案, 免疫检查点抑制剂

Abstract:

Pulmonary large cell neuroendocrine carcinoma (LCNEC) is a rare type of malignant neuroendocrine tumor with poor prognosis, with the median overall survival being around one year in advanced diseases. The prognosis of patients with non-small cell lung cancer has been greatly improved with the application of molecular detecting techniques, targeted therapy and immunotherapy. However, little progress has been made in the diagnosis and treatment of LCNEC with no unified standard of diagnosis and treatment protocol. The clinical molecular diagnosis and treatment of LCNEC is of great significance. Exploring the research progress related to the diagnosis and treatment of LCNEC can provide reference for improving the existing clinical diagnosis and treatment difficulties of LCNEC.

Key words: Lung neoplasms, Carcinoma, neuroendocrine, Pathology, molecular, Antineoplastic protocols, Immune checkpoint inhibitors