中国肿瘤临床2024,Vol.51Issue(3) :153-158.DOI:10.12354/j.issn.1000-8179.2024.20240072

联合免疫检查点抑制剂治疗驱动基因阴性非小细胞肺癌脑转移的研究进展

Research progress on combined immune checkpoint inhibitors for the treatment of pa-tients with driver gene-negative non-small cell lung cancer brain metastasis

郭丽娜 王宏伟
中国肿瘤临床2024,Vol.51Issue(3) :153-158.DOI:10.12354/j.issn.1000-8179.2024.20240072

联合免疫检查点抑制剂治疗驱动基因阴性非小细胞肺癌脑转移的研究进展

Research progress on combined immune checkpoint inhibitors for the treatment of pa-tients with driver gene-negative non-small cell lung cancer brain metastasis

郭丽娜 1王宏伟2
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作者信息

  • 1. 内蒙古医科大学(呼和浩特市 010059)
  • 2. 内蒙古医科大学附属医院放疗科
  • 折叠

摘要

非小细胞肺癌(non-small cell lung cancer,NSCLC)是肺癌中最常见的组织学类型,约 66%的患者在确诊时就被发现伴有远处转移.脑转移是最常见的转移部位之一,约 13%的患者在初诊时即发现颅内受累,严重影响生活质量,预后不佳.驱动基因阳性的NSCLC脑转移患者靶向治疗可以达到较好的颅内控制率,但驱动基因阴性的患者治疗手段较为局限.近年来,随着免疫治疗的兴起,免疫检查点抑制剂(immune checkpoint inhibitors,ICIs)被广泛运用于临床,ICIs联合放疗的治疗模式为驱动基因阴性NSCLC脑转移患者的治疗带来了新希望.本文就放疗联合免疫治疗在敏感驱动基因阴性NSCLC脑转移患者中的临床研究进展进行综述,以期为临床治疗方案的选择提供参考.

Abstract

Non-small cell lung cancer(NSCLC)is the most common histological lung cancer type and is associated with distant metastases in approximately 66%of patients at the time of diagnosis.The brain is a common site of metastasis,and intracranial involvement is detected in approximately 13%of patients at the initial diagnosis.This severely affects quality of life and leads to a poor prognosis.Targeted therapy in patients with driver gene-positive NSCLC brain metastases achieves better intracranial control rates;however,treatment options for pa-tients with driver gene-negative NSCLC brain metastases are limited.In recent years,with the expansion of immunotherapy,immune check-point inhibitors(ICIs)have been widely used in clinical practice.The therapeutic modality of ICIs combined with radiotherapy shows promise in the treatment of patients with driver gene-negative NSCLC brain metastases.This article reviews the clinical research progress of radio-therapy combined with immunotherapy in patients with sensitive driver gene-negative NSCLC brain metastases,the aim of providing a refer-ence for available clinical treatment options.

关键词

非小细胞肺癌/脑转移/驱动基因阴性/放射治疗/免疫检查点抑制剂

Key words

non-small cell lung cancer(NSCLC)/brain metastases/driver gene-negative/radiotherapy/immune checkpoint inhibitors(ICIs)

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基金项目

内蒙古自治区自然科学基金项目(2019MS08024)

出版年

2024
中国肿瘤临床
中国抗癌协会

中国肿瘤临床

CSTPCD北大核心
影响因子:1.32
ISSN:1000-8179
参考文献量36
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