国际肿瘤学杂志 ›› 2018, Vol. 45 ›› Issue (6): 358-361.doi: 10.3760/cma.j.issn.1673-422X.2018.06.009

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免疫治疗时代下肿瘤疗效的评价标准

白日兰,郭寒菲,崔久嵬   

  1. 130021 长春,吉林大学第一医院肿瘤中心
  • 收稿日期:2017-12-29 出版日期:2018-06-08 发布日期:2018-07-31
  • 通讯作者: 崔久嵬 E-mail:cuijw@jlu.edu.cn

Evaluation criteria for tumor efficacy in the times of immunotherapy

Bai Rilan, Guo Hanfei, Cui Jiuwei   

  1. Cancer Center, First Hospital of Jilin University, Changchun 130021, China
  • Received:2017-12-29 Online:2018-06-08 Published:2018-07-31
  • Contact: Cui Jiuwei E-mail:cuijw@jlu.edu.cn

摘要: 随着免疫治疗时代的到来以及多种非常规缓解模式如延迟反应、假性进展的出现,多种免疫相关疗效评价标准如免疫相关疗效标准、实体肿瘤免疫相关疗效评价标准、实体肿瘤免疫疗效评价标准等标准相继被提出。这些标准的评价原则和判定结果与传统疗效评价标准存在很大差异,尤其是最新提出的实体肿瘤免疫疗效评价标准,引入待证实的疾病进展和已证实的疾病进展两个新概念,为实体肿瘤提供了一种全新的疗效评价模式,有望为肿瘤免疫治疗时代下一些亟待解决的临床问题提出解决方案。

关键词: 肿瘤, 免疫治疗, 疗效评价, 实体肿瘤免疫疗效评价标准

Abstract: With the advent of the times of immunotherapy and the emergence of a variety of unconventional response patterns such as delayed response and pseudoprogressive disease, a variety of immunerelated efficacy evaluation criteria such as immunerelated response criteria, immunerelated response evaluation criteria in solid tumor and immune response evaluation criteria in solid tumor have been proposed successively. The evaluation principles and judgment results of these criteria are distinctly different from the traditional response evaluation criteria. In particular, the newly proposed immune response evaluation criteria in solid tumor introduces two new concepts of unconfirmed progressive disease and confirmed progressive disease and provides a new response evaluation model for solid tumors, which is expected to provide solutions to some of the most urgent clinical problems under the times of cancer immunotherapy.

Key words: Neoplasms, Immunotherapy, Response evaluation, Immune response evaluation criteria in solid tumors