2020年非小细胞肺癌重要临床研究纵观与解读
An Overview and Interpretation of Important Clinical Studies on Non-Small Cell Lung Cancer in 2020
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摘要: 2020年突如其来的新冠肺炎疫情为医疗界带来了前所未有的挑战,但晚期非小细胞肺癌(non-small cell lung cancer,NSCLC)的研究依旧如火如荼。其中多项重磅级临床研究引领了临床实践的变革,如:ADAURA研究显示第三代EGFR酪氨酸激酶抑制剂在NSCLC患者辅助治疗中发挥显著的疗效;Lung ART研究得出结论,不推荐适形放疗作为完全切除ⅢA N2期NSCLC患者术后常规治疗;MET抑制剂、RET抑制剂为具有相关靶点的晚期NSCLC患者提供了新的精准治疗方法。此外,无论是对于早期还是晚期NSCLC,靶向治疗与免疫治疗都有重要的临床研究进展。可以预见,在未来的十年间,NSCLC将迎来前所未有的治疗变革。Abstract: The COVID-19 outbreak of 2020 presents unprecedented challenges for the medical community. However, non-small cell lung cancer (NSCLC) research remains in full swing. Several of these important advances have led changes in clinical practice, such as the ADAURA study showing significant efficacy of third-generation EGFR- tyrosine kinase inhibitor in the adjuvant treatment of NSCLC patients, the Lung ART study concluding that conformal radiotherapy is not recommended as routine postoperative treatment for patients with completely resected stage ⅢA N2 NSCLC, MET inhibitors and RET inhibitors provide new precision therapies for patients with advanced NSCLC with relevant targets. In addition, there are important clinical research advances in targeted therapy and immunotherapy for both early and advanced NSCLC. It is foreseeable that in the next decade, there will be unprecedented therapeutic changes in NSCLC.