国际肿瘤学杂志 ›› 2024, Vol. 51 ›› Issue (11): 717-722.doi: 10.3760/cma.j.cn371439-20240318-00121

• 综述 • 上一篇    下一篇

EGFR突变非小细胞肺癌脑转移靶向治疗进展

罗毅君, 姚伟荣, 王晓莉()   

  1. 江西省人民医院(南昌医学院第一附属医院)肿瘤科,南昌 330000
  • 收稿日期:2024-03-18 修回日期:2024-09-12 出版日期:2024-11-08 发布日期:2024-12-26
  • 通讯作者: 王晓莉 E-mail:841416309@qq.com
  • 基金资助:
    江西省卫生健康委科技计划(202310138);江西省中医药管理局科技计划(2022B499)

Targeted therapeutic progression of EGFR mutation in non-small cell lung cancer with brain metastasis

Luo Yijun, Yao Weirong, Wang Xiaoli()   

  1. Department of Oncology, Jiangxi Provincial People's Hospital (First Affiliated Hospital of Nanchang Medical College), Nanchang 330000, China
  • Received:2024-03-18 Revised:2024-09-12 Online:2024-11-08 Published:2024-12-26
  • Contact: Wang Xiaoli E-mail:841416309@qq.com
  • Supported by:
    Science and Technology Project of Health Commission of Jiangxi Province(202310138);Science and Technology Project of Administration of Traditional Chinese Medicine of Jiangxi Province(2022B499)

摘要:

非小细胞肺癌(NSCLC)脑转移的患者预后较差,酪氨酸激酶抑制剂(TKI)显著改善了表皮生长因子受体(EGFR)基因敏感突变患者的预后,TKI与放疗、化疗、抗血管生成治疗等联合应用能改善EGFR突变NSCLC脑转移患者的生存,但不同联合方案之间如何选择,获益的优势人群等问题仍需要进行更深入的临床研究。

关键词: 癌,非小细胞肺, 肿瘤转移, 放射疗法, 分子靶向治疗, 药物疗法,联合

Abstract:

Patients with brain metastases from non-small cell lung cancer (NSCLC) generally have a poor prognosis. Tyrosine kinase inhibitors (TKIs) have significantly improved the prognosis of patients with sensitizing mutations in the epidermal growth factor receptor (EGFR) gene. Combining TKIs with other treatments such as radiotherapy, chemotherapy, and anti-angiogenic therapy can improve survival of patients with EGFR-mutant NSCLC brain metastases. However, more in-depth clinical studies are needed to determine the best combination strategies and to identify which patient groups will benefit the most from these approaches.

Key words: Carcinoma, non-small-cell lung, Neoplasm metastasis, Radiotherapy, Molecular targeted therapy, Drug therapy, combination