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晚期甲状腺髓样癌的药物治疗进展

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甲状腺髓样癌发病率低但恶性程度高,具有早期淋巴结和远端转移的倾向,预后较差。目前对于甲状腺髓样癌的有效治疗手段仍是外科手术,但对于晚期并且不能通过手术根治的甲状腺髓样癌患者,参加药物临床试验是一种有效的治疗手段。甲状腺髓样癌的发病主要原因是RET原癌基因突变,主要分为散发性和遗传性甲状腺髓样癌两大类。其中散发性甲状腺髓样癌在临床上最多见、而遗传性甲状腺髓样癌临床上较少见但具有发病年龄偏低和恶性程度更高的特点。相较于其他瘤种,目前针对晚期甲状腺髓样癌患者仍缺少有效的治疗有段,仍急需开发有效的治疗药物。本文按甲状腺髓样癌发病相关的靶点和信号通路介绍了针对晚期甲状腺髓样癌的临床研究,并简要介绍了其研究的主要结果和对应的药物相关的不良事件。
Advances in drug therapy for advanced medullary thyroid carcinoma
Medullary thyroid cancer has a low incidence but high malignancy,a tendency to early lymph node and distant metastasis,and a poor prognosis.At present,surgery is still the effective treatment for medullary thyroid cancer,but for patients with advanced medullary thyroid cancer that cannot be cured by surgery,participating in drug clinical trials is an effective treatment.The main cause of medullary thyroid cancer is RET proto-oncogene mutation,which is mainly divided into two categories:sporadic and hereditary medullary thyroid cancer.Among them,sporadic medullary thyroid carcinoma is the most common in clinical practice,while hereditary medullary thyroid carcinoma is less common in clinical practice,but has the characteristics of lower age of onset and higher degree of malignancy.Compared with other tumor types,there is still a lack of effective treatment for patients with advanced medullary thyroid cancer,and there is still an urgent need to develop effective therapeutic drugs.This article introduces the clinical research on advanced medullary thyroid cancer according to the targets and signaling pathways related to the pathogenesis of medullary thyroid cancer,and briefly introduces the main results of the study and the corresponding drug-related adverse events.

locally advanced/advanced medullary thyroid cancertargeted therapyclinical trial

薛昊、张铭洋、郭国贤、刘翥

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辽宁省肿瘤医院/大连理工大学肿瘤医院,辽宁沈阳110044

大连医科大学附属第二医院,辽宁大连 116044

辽宁省检验检测认证中心,辽宁沈阳 110010

局部晚期/晚期甲状腺髓样癌 靶向治疗 临床试验

2024

沈阳药科大学学报
沈阳药科大学

沈阳药科大学学报

CSTPCD
影响因子:0.604
ISSN:1006-2858
年,卷(期):2024.41(4)
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