国际肿瘤学杂志 ›› 2015, Vol. 42 ›› Issue (6): 462-465.doi: 10.3760/cma.j.issn.1673-422X.2015.06.017

• 综述 • 上一篇    下一篇

恶性胸膜间皮瘤的研究进展

武新舒,赵小刚,武利存,丛波   

  1. 250033济南,山东大学第二医院胸外科
  • 收稿日期:2015-01-17 出版日期:2015-06-08 发布日期:2015-05-31
  • 通讯作者: 赵小刚,Email:menglin2002@163.com E-mail:menglin2002@163.com

Advances of malignant pleural mesothelioma

Wu Xinshu, Zhao Xiaogang, Wu Licun, Cong Bo   

  1. Department of Thoracic Surgery, Second Hospital of Shandong University, Ji′nan 250033, China
  • Received:2015-01-17 Online:2015-06-08 Published:2015-05-31
  • Contact: Zhao Xiaogang E-mail:menglin2002@163.com

摘要: 恶性胸膜间皮瘤(MPM)是起源于胸膜间皮细胞的一种恶性肿瘤。MPM的诊断主要依靠胸膜活检与免疫组织化学检查。MPM的治疗应以手术加放疗、化疗、免疫治疗等综合治疗为主。手术治疗的主要术式有胸膜外全肺切除术和胸膜部分剥脱术。放疗以三维适形为主。化疗以顺铂和培美曲塞为标准。免疫治疗的主要靶点有调节性T细胞、细胞毒性T淋巴细胞相关抗原4、程序性死亡分子1配体等。

关键词: 间皮瘤, 治疗, 免疫系统, 血液学

Abstract: Malignant pleural mesothelioma (MPM) is a malignant cancer originated from pleural mesothelial cell. The diagnosis of MPM is based on biopsy of pleura and immunohistochemistry. The current treatment of MPM is multimodality therapy including surgery, radiotherapy, chemotherapy and immunotherapy. There are two major surgical procedures: extrapleural pneumonectomy and pleurectomy/decortication. The main of radiotherapy is threedimensional conformal radiotherapy. Cisplatinum combined with pemetrexed is the firstline chemotherapy for the patients with MPM. The principal targets for immunotherapy include regulatory T cells, cytotoxic T lymphocyte associated antigen 4 and PD 1.

Key words: Mesothelioma, Therapy, Immune system, Hematology