国际肿瘤学杂志 ›› 2018, Vol. 45 ›› Issue (12): 756-759.doi: 10.3760/cma.j.issn.1673-422X.2018.12.012

• 综述 • 上一篇    下一篇

老年晚期非小细胞肺癌患者的治疗

周金,武杰,张惠博,陈敏   

  1. 430060 武汉大学人民医院肿瘤科(周金、武杰、张惠博);湖北省第三人民医院药学部(陈敏)
  • 出版日期:2018-12-08 发布日期:2019-02-01
  • 通讯作者: 陈敏 E-mail:405818556@qq.com

Therapy for elderly patients with advanced nonsmall cell lung cancer

Zhou Jin, Wu Jie, Zhang Huibo, Chen Min   

  1. Department of Oncology, Renmin Hospital of Wuhan University, Wuhan 430060, China  
  • Online:2018-12-08 Published:2019-02-01
  • Contact: Chen Min E-mail:405818556@qq.com

摘要: 化疗通常被推荐用于ⅢB/Ⅳ期非小细胞肺癌(NSCLC)的治疗,老年晚期NSCLC患者的治疗方案主要为单药化疗以及以铂类为基础的联合化疗。但是老年患者由于年龄相关的一些疾病导致化疗耐受性差,因此疗效相对于年轻患者差。靶向治疗及免疫治疗成为新的研究方向。根据老年患者特点(老年状态评分系统)选择合适的方案十分重要。

关键词: 癌, 非小细胞肺, 老年人, 肿瘤治疗方案

Abstract: Chemotherapy is recommended for stage ⅢB/Ⅳ nonsmall cell lung cancer (NSCLC) treatment. The treatments for elderly patients with advanced NSCLC are mainly singleagent chemotherapy and platinumbased combination chemotherapy. However, elderly patients tolerate chemotherapy poorly because of agerelated comorbidities. Therefore, the curative effect of elderly patients is relatively poorer as compared to their younger counterparts. Targeted therapy and immune therapy have become new research directions. It is important to select an appropriate program for elderly patients according to geriatric assessments.

Key words: Carcinoma, non-small-cell lung, Aged, Antineoplastic protocols