晚期宫颈癌的全身治疗:借助历史上的总体生存门槛。
Systemic therapy for advanced cervical cancer: Leveraging the historical threshold of overall survival.
发表日期:2023 Mar
作者:
Eduardo Paulino, Andreia Cristina de Melo, Diocésio Alves Pinto de Andrade, Michelle Samora de Almeida
来源:
CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY
摘要:
宫颈癌(CC)是全球性问题,特别是在低收入和中等收入国家,患者通常被诊断为局部晚期疾病。直到最近,所有化疗药物在铂化合物治疗失败后,对晚期宫颈癌的ORR和12个月整体生存率(12个月OS)都达到了低水平。免疫治疗、靶向治疗和抗体药物联合治疗(ADC)的系统治疗进展已将12个月OS限制提高。最近,免疫治疗(pembrolizumab)已成为先线治疗铂类和紫杉醇治疗中的标准,并在铂类双联治疗失败后成为第二线治疗。Copyright © 2023 Elsevier B.V. All rights reserved.
Cervical cancer (CC) is a worldwide problem, especially in low- and middle-income countries, where patients are often diagnosed with locally advanced disease. Until recently, all chemotherapy drugs achieved low ORR and 12-month overall survival (12- month OS) for advanced CC after failure for platinum compounds. Advances in systemic therapy with immunotherapy, targeted therapy, and antibody-drug conjugates (ADC) have leveraged the 12-month OS limit. Recently, immunotherapy (pembrolizumab) has become the standard of care in first-line advanced CC combined with platinum and taxane and in second-line after platinum doublet failure.Copyright © 2023 Elsevier B.V. All rights reserved.