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The Emerging Role of Targeted Therapy and Immunotherapy in the Management of Brain Metastases in Non-Small Cell Lung Cancer

机译:靶向治疗和免疫治疗在非小细胞肺癌脑转移管理中的新兴作用

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摘要

Lung cancer is the worldwide leading cause of cancer-related mortality in men and second leading in women. Brain metastases (BM) account for 10% of non-small cell lung cancer (NSCLC) patients at initial presentation, with another 25–40% developing BM during the course of their disease. In the last decade, the field of precision oncology has led to the discovery of a multitude of heterogenous molecular abnormalities within NSCLC as well as the development of tyrosine kinase inhibitors that target them. In this review, the focus will be on targeted therapy and immunotherapy that show efficacy in BM rather than conventional treatment for multiple BM (such as surgical resection, WBRT, or stereotactic radiosurgery).
机译:肺癌是男性与癌症相关的死亡率的全球性首要原因,而女性则是第二大原因。在初次就诊时,脑转移瘤(BM)占非小细胞肺癌(NSCLC)患者的10%,另有25–40%的病程发展为BM。在过去的十年中,精密肿瘤学领域已导致在NSCLC内发现许多异质分子异常,并开发了以它们为目标的酪氨酸激酶抑制剂。在这篇综述中,重点将放在靶向治疗和免疫治疗上,这些治疗和免疫治疗对BM具有疗效,而不是针对多发性BM的常规治疗(例如手术切除,WBRT或立体定向放射外科)。

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