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肝细胞癌的分子靶向药物治疗进展

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肝癌是全球第六大常见恶性肿瘤,肝细胞癌(HCC)发病率高达90%以上.近年来,由于受到不同因素的影响,HCC发病率逐年增加,且趋于年轻化.HCC有着较高的发病率及死亡率.HCC患者早期无明显临床症状,病情发展较快,患者就诊时多为中晚期,采用手术切除后,仍有着较高的复发率.因此,全身化疗对HCC患者的治疗有重要作用.分子靶向药物是当前肿瘤治疗的研究热点,此类药物与传统化疗药物相比,有着较高特异性、靶向性,且不良反应小,在HCC治疗中得到了广泛应用.当前,常用的分子靶向药物有多靶点激酶抑制剂(索拉非尼、瑞戈非尼、仑伐替尼)、血管生成抑制剂(阿帕替尼、雷莫芦单抗、卡搏替尼)、肝细胞生长因子抑制剂、免疫检查点抑制剂,每一种药物治疗HCC都有自身优缺点.本文对HCC的分子靶向药物的治疗进展进行综述,以期对HCC的药物治疗提供参考.
Progress in molecular targeted drug therapy for hepatocellular carcinoma
Live cancer is the sixth most common malignant tumor in the world,and the incidence rate of hepatocellular carcinoma(HCC)is above 90%.In recent years,due to the influnce of different factors,the incidence rate of HCC has increased year by year,and tends to be younger.HCC has a high incidence rate and mortality.Patients with HCC have no obvious clinical symptoms in the early stage,and the condition of disease develops rapidly.Most of the patients are in the middle and late stage when they see a doctor.After surgical resection,there is still a high recurrence rate.Therefore,systemic chemotherapy plays an important role in the treatment of HCC patients.Molecular targeted drugs are the research hotspot of tumor therapy at present.Compared with traditional chemotherapy drugs,these drugs have higher specificity,targeting and minimal adverse reactions,and are widely used in the treatment of HCC.At present,the commonly used molecular targeted drugs include multi-target kinase inhibitors(sorafenib,regorafenib,lenvatinib),angiogenesis inhibitors(ampatinib,ramolumab,cabozantinib),hepatocyte growth factor inhibitors,immune checkpoint inhibitors.Each drug has its own advantages and disadvantages in the treatment of HCC.This article reviews the progress of molecular targeted drug therapy for HCC,hoping to provide reference for drug therapy of HCC.

Hepatocellular carcinomaMolecular targeted drugProgress

刘玉振

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天津市宁河区医院药剂科,天津 301500

肝细胞癌 分子靶向药物 治疗 进展

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(1)
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