国际肿瘤学杂志 ›› 2016, Vol. 43 ›› Issue (5): 391-394.doi: 10.3760/cma.j.issn.1673-422X.2016.05.019

• 综述 • 上一篇    下一篇

晚期结直肠癌分子靶向治疗

方红艳,周云峰   

  1. 430071 武汉大学中南医院放化疗科 国家临床重点专科 湖北省肿瘤医学临床研究中心 肿瘤生物学行为湖北省重点实验室
  • 出版日期:2016-05-08 发布日期:2016-04-07
  • 通讯作者: 周云峰 E-mail:yfzhouwhu@163.com

Targeted therapy of advanced colorectal cancer

Fang Hongyan, Zhou Yunfeng   

  1. Department of Radiation and Chemotherapy, Zhongnan Hospital of Wuhan University; State Key Clinical Specialty, Hubei Cancer Clinical Study Center, Hubei Key Laboratory of Tumor Biological Behavior, Wuhan 430071, China
  • Online:2016-05-08 Published:2016-04-07
  • Contact: Zhou Yunfeng E-mail:yfzhouwhu@163.com

摘要: 晚期结直肠癌靶向治疗药物主要包括血管内皮生长因子抑制剂和表皮生长因子受体抑制剂。研究表明贝伐珠单抗和西妥昔单抗改善了晚期结直肠癌的预后,但在联合化疗药物方案的选择上稍有差异。西妥昔单抗和贝伐珠单抗改善Kras野生型晚期结直肠癌患者总生存期相似。新的靶向药物阿柏西普、瑞格非尼等的出现,为晚期结直肠癌的靶向治疗提供了更多的选择。

关键词: 结直肠肿瘤, 分子靶向治疗

Abstract: Targeted agents for advanced colorectal cancer mainly include inhibitors of vascular endothelial growth factor (VEGF) and epidermal growth factor receptor (EGFR). Studies show that bevacizumab and cetuximab can improve the prognosis of advanced colorectal cancer patients, but there is slight difference in the choice of chemotherapy regimens when combined with them. Bevacizumab and cetuximab can improve the overall survival of Kras wildtype colorectal cancer patients similarly. The emergence of new targeted drugs such as aflibercept, regorafenib provides more choices for the targeted therapy of advanced colorectal cancer patients.

Key words: Colorectal neoplasms, Molecular targeted therapy