摘要
分子靶向药物表皮生长因子受体-酪氨酸激酶抑制剂(epidermal growth factor receptor-tyrosine kinase inhibitor,EGFR-TKI)单药为EGFR敏感突变非小细胞肺癌(non-small cell lung cancer,NSCLC)患者一线治疗方案。近年来多项研究证实,其与放疗联合治疗时具有放疗增敏作用,临床研究表明其可改善晚期NSCLC患者生存且亦有可能作为无法耐受放化疗时的替代方案。EGFR-TKI单药治疗肺毒性发生率较低但死亡率较高,与放疗联合时肺毒性发生概率不一,本文将结合相关文献围绕EGFR-TKI类药物单药或联合放射治疗时肺毒性发生状况做一综述,为联合治疗方案的安全性提供参考。
Monotherapy of epidermal growth factor receptor-tyrosine kinase inhibitor （EGFR-TKI） serves as the first-line treatment for non-small cell lung cancer （NSCLC） patients with EGFR mutation. Preclinical studies confirmed that TKIs can increase radiation sensitivity. Clinical studies confirmed that EGFR-TKI combined with radiotherapy may improve survival of patients and can be used as alternative to chemoradiotherapy. Pulmonary toxicity induced by EGFR-TKIs monotherapy features low incidence rate but high mortality rate, and the incidence rate raries when TKIs is combined with radiotherapy. In this review, we summarise related literature on pulmonary toxicity in EGFR-TKI monotherapy or its combination with radiotherapy for advanced NSCLC. This study can serve as reference for safety of this combined therapy.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2017年第11期558-561,共4页
Chinese Journal of Clinical Oncology
