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ⅠB期非小细胞肺癌完全切除术后辅助治疗方式的研究进展

Research Progress on Postoperative Adjuvant Therapy for Completely Resected Stage ⅠB Non-small Cell Lung Cancer

  • 摘要: 原发性肺癌是肿瘤相关死亡率较高的恶性肿瘤之一,非小细胞肺癌约占原发性肺癌的85%。近年来,由于医疗技术水平的提升和健康体检的普及,早期非小细胞肺癌检出率逐渐提高。早期NSCLC的治疗方式主要是手术切除和辅助治疗,但ⅠB期患者在肿瘤完全切除术后的辅助治疗及随访管理存在诸多争议。这篇综述聚焦于ⅠB期NSCLC患者完全切除后辅助化疗、靶向及免疫治疗选择的关键问题,同时探讨了筛选早期NSCLC高危患者的生物标志物及预后因子。

     

    Abstract: Lung cancer is considered as the leading cause of cancer-related mortality worldwide. Non-small cell lung cancer (NSCLC) accounts for about 85% of primary lung cancer. Owing to the improved utilization of medical technological level and the popularization of health examinations, the detection rate of early-stage NSCLC is gradually increasing. The main treatment modalities for early-stage NSCLC are surgical resection and adjuvant chemotherapy. Platinum-based chemotherapy is recommended as the standard postoperative adjuvant treatment for patients with completely resected stageⅡ-ⅢA NSCLC. However, adjuvant therapy remains a controversial option in stageⅠB NSCLC. This review focuses on postoperative adjuvant therapy such as adjuvant chemotherapy, targeted therapy, and immunotherapy for completely resected stageⅠB NSCLC. Moreover, the biomarkers and prognostic factors of high-risk patients are discussed.

     

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