摘要
胸腺肿瘤是一种罕见的恶性肿瘤,胸腺肿瘤患者治疗的主要方式是手术切除。化疗是治疗肿瘤大面积浸润或转移的必要手段,但无法进行完整的根治性切除。然而,这些患者中只有三分之二对化疗有反应。对于耐化学疗法患者,靶向治疗已被认为是一种有效的治疗方法。与肿瘤发生和转移的许多相关基因已被证明为胸腺恶性肿瘤的治疗靶点。目前,一些病例报告和小临床试验报道,一些抑制剂,如索拉非尼和舒尼替尼,能有效用于胸腺瘤的治疗。本文概述了胸腺恶性肿瘤发展过程中当前潜在的药物靶点及其作用,及用于胸腺瘤的靶向治疗药物和相关临床试验结果。此外,我们还概述了在难治性或复发性胸腺肿瘤患者中进行适合靶向治疗的患者筛选和靶向治疗的疗效。
关键词: 癌症治疗,癌变,靶向治疗,胸腺肿瘤,胸腺癌,胸腺瘤。
Current Cancer Drug Targets
Title:Current Drug Targets for Thymic Neoplasms
Volume: 15 Issue: 7
Author(s): Xiao-Ling Xu and Wei-Min Mao
Affiliation:
关键词: 癌症治疗,癌变,靶向治疗,胸腺肿瘤,胸腺癌,胸腺瘤。
摘要: Thymic neoplasms are rare malignant tumors, and the mainstay of treatment for patients with thymic tumors is surgical resection. Chemotherapy is necessary for patients with extensive tumor invasion or metastasis who are unable to undergo complete radical excision. However, only two-thirds of these patients respond to chemotherapy. For those patients who are resistant to chemotherapy, targeted therapy has been proposed as a beneficial alternative. Many genes implicated in tumorigenesis and metastasis have been demonstrated to be therapeutic targets in thymic malignancies. Currently, a number of case reports and small clinical trials have reported that a few inhibitors, such as sorafenib and sunitinib, are effective for the treatment of thymoma. This review describes the current potential drug targets and their roles in the development of thymic malignancy. Drugs that are used for the targeted therapy of thymoma and the results of related clinical trials are addressed. Furthermore, we provide an overview of the screening of specific patients who are suitable for targeted therapy and the efficacy of targeted therapy in patients with refractory or recurrent thymic tumors.
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Cite this article as:
Xiao-Ling Xu and Wei-Min Mao , Current Drug Targets for Thymic Neoplasms, Current Cancer Drug Targets 2015; 15 (7) . https://dx.doi.org/10.2174/1568009615666150616124155
DOI https://dx.doi.org/10.2174/1568009615666150616124155 |
Print ISSN 1568-0096 |
Publisher Name Bentham Science Publisher |
Online ISSN 1873-5576 |
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