摘要
以表皮生长因子受体(EGFR)为靶点的酪氨酸激酶抑制剂(TKIs)对晚期非小细胞肺癌EGFR突变患者的治疗效果令人瞩目。本文分析总结近年国内外相关研究,指出低剂量TKIs的应用虽有待进一步证实,但优于标准剂量组,并从安全性、改善肿瘤血管结构和功能、与细胞毒化疗的关系三方面探讨大剂量TKIs的应用效果。进一步分析指出大剂量联合小剂量TKIs能够最大程度地防止或延迟耐药的发生,进而控制疾病的进展。从而,为晚期非小细胞肺癌EGFR突变患者的TKIs治疗选择提供参考。
Tyrosine kinase inhibitors targeting (TKIs) in the treatment of advanced non small cell lung cancer patients with EGFR mutation attract people's attention. Analysis of related research domestically and abroad, and points out that the application of low dose of TKIs is better than the standard dose group but remains to be further confirmed. This article discussed the application effect of large dose of tyrosine kinase inhibitors from three aspects,including the safety, improve the relationship between tumor vascularstructure and function, and the effect of cytotoxic drugs. At last,it pointed out that the large dose in combination with small dose of TKIs could prevent or delay the occurrence of drug resistance maximally, and the control the progression of the disease. So, it can provide reference for TKIs in the treatment of advanced non small cell lung cancerpatients with EGFR mutations.
出处
《医学与哲学(B)》
2014年第11期11-14,共4页
Medicine & Philosophy(B)
关键词
晚期非小细胞肺癌
表皮生长因子受体
酪氨酸激酶抑制剂
靶向治疗
advanced non-small-cell lung cancer, epidermal growth factor receptor (EGFR), tyrosine kinase inhibitors (TKIs), targeted therapy