网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
安罗替尼治疗晚期非小细胞肺癌的效果及预后影响因素分析
作者:吴新天  覃莉  郑义兰  黄东宁 
单位:广西柳州市工人医院 肿瘤科, 广西 柳州 545005
关键词:非小细胞肺癌 安罗替尼 预后 影响因素 
分类号:R734.2
出版年·卷·期(页码):2020·48·第十二期(1510-1514)
摘要:

目的: 分析安罗替尼治疗晚期非小细胞肺癌(NSCLC)的效果及预后的影响因素。方法: 选取2018年10月至2019年12月我院收治的至少经过二线方案治疗的晚期NSCLC患者84例为研究对象,给予口服安罗替尼进行治疗,疗程为3周。观察治疗效果,并进行随访,采用寿命表法计算NSCLC患者总体生存率,COX风险比例回归模型分析安罗替尼治疗晚期NSCLC预后的影响因素。结果: 84例NSCLC晚期患者安罗替尼治疗的客观有效率为10.7%,疾病控制率为60.7%。随访截至2020年6月30日,中位生存时间为9.19个月,总体生存率为31.0%。Kras+、ALK+、TP53+与NSCLC患者死亡风险呈正相关(P<0.05),EGFR+与NSCLC患者死亡风险呈负相关(P<0.05)。吸烟、EGFR+、Kras+、ALK+和TP53+是NSCLC预后的影响因素(P<0.05)。结论: 安罗替尼用于晚期NSCLC三线治疗具有一定效果。吸烟、EGFR-、Kras+、ALK+和TP53+的晚期NSCLC预后较差,可用于安罗替尼治疗晚期NSCLC的预后评估指标。

Objective: To investigate the effect and prognostic influencing factors of Arotinib in the treatment of terminal non-small cell lung cancer(NSCLC).Methods: 84 patients with terminal NSCLC who had been treated by the second-line program at least in our hospital from October 2018 to December 2019 were enrolled. They were treated with Arotinib by oral for 3 weeks. Using a life table method to evaluate the overall survival rate of terminal NSCLC patients, and the prognostic influencing factors of terminal NSCLCwere analyzed by Cox proportional hazards regression model. Results: Among 84 terminal NSCLC patients, the objective effective rate was 11.9%, and the disease control rate was 51.2%. The 84 terminal NSCLC patients were followed up until June 30, 2020. The median survival time was 9.19 months. The overall survival rate was 31.0%. KRAS+, ALK+,TP53+ were positively correlated with the death of terminal NSCLC patients(P<0.05), EGFR+were negatively correlated with the death of terminal NSCLC patients(P<0.05).In the analysis of influencing factors, smoking, EGFR-, KRAS+, ALK+ and TP53+ were risk factors of terminal NSCLC patients(P<0.05).Conclusion: Arotinib has a certain effect in the treatment of terminal NSCLC. Terminal NSCLC show a poor prognosis with smoking, EGFR-, KRAS+, ALK+ and TP53+, which can be used to evaluate the prognosis of NSCLC after Arotinib treatment.

参考文献:

[1] BAO S M,HU Q H,YANG W T,et al.Targeting epidermal growth factor receptor in non-small-cell-lung cancer:current state and future perspective[J].Anticancer Agents Med Chem,2019,19(8):984-991
[2] 陆宽,张博,窦欣,等.MSCT在含铂双药方案全身化疗治疗非小细胞肺癌的疗效评价中的应用价值[J].肿瘤药学,2018,8(6):955-959.
[3] 潘伟佳.肺腺癌化疗与口服表皮生长因子受体酪氨酸激酶抑制剂的疗效[D].郑州:郑州大学,2018.
[4] 邹宜覃,宁方政,张景熙,等.盐酸安罗替尼治疗晚期非小细胞肺癌临床疗效及影响因素分析[J].国际呼吸杂志,2020,40(7):493-498.
[5] 刘贞,王彩莲.非小细胞肺癌靶向治疗回顾与进展[J].现代医学,2018,46(2):229-234.
[6] ZHOU C C,YAO L D.Strategies to improve outcomes of patients with egrf-mutant non-small cell lung cancer:review of the literature[J].J Thorac Oncol,2016,11(2):174-186.
[7] WANG Z J,DUAN J C,WANG G Q,et al.Allele frequency-adjusted blood-based tumor mutational burden as a predictor of overall survival for patients with NSCLC treated with PD-(L)1 inhibitors[J].J Thorac Oncol,2020,15(4):556-567.
[8] 李凡敏,魏茂刚,范华,等.培美曲塞联合铂类方案三线治疗晚期非小细胞肺癌的临床疗效及疾病预后[J].实用癌症杂志,2018,33(9):1424-1426.
[9] 王俊.安罗替尼治疗恶性肿瘤的临床研究进展[J].中国肿瘤,2019,28(5):359-366.
[10] 苏雨栋,孟昭婷,徐晓燕,等.安罗替尼治疗KRAS突变型晚期肺腺癌1例[J].中国肺癌杂志,2018,21(5):428-430.
[11] 顾伟国,余锋,聂珊琳,等.Research progress in clinical research of adjuvant targeted therapy with EGFR-TKI for postoperative non-small cell lung cancer[J].临床肿瘤学杂志,2018,23(12):1131-1134.
[12] STEWART E L,TAN S Z,LIU G,et al.Known and putative mechanisms of resistance to EGFR targeted therapies in NSCLC patients with EGFR mutations-a review[J].Transl Lung Cancer Res,2015,4(1):67-81.
[13] 凌云,邱田,李卓,等.非小细胞肺癌中EGFR和KRAS基因突变的特点及与临床病理特征的关系[J].临床与实验病理学杂志,2015,31(5):536-541.
[14] 刘铁军.基于EGFR、KRAS、ALK分型非小细胞肺癌临床病理特点和预后的研究[D].北京:北京协和医学院,2015.
[15] 张其程,徐克.自噬在EGFR-TKI类肿瘤靶向药物对肺癌的治疗和耐药中作用的研究进展[J].中国肺癌杂志,2016,19(9):607-614.
[16] LIU Y,LI S,CHEN D,et al.Clinical diagnosis of EML4-ALK mutation in NSCLC by a gold nanoparticle beacon[J].RSC Adv,2016,6(104):102398-102405.
[17] LABBÉ C,CABANERO M,KORPANTY G J,et al.Prognostic and predictive effects of TP53 co-mutation in patients with EGFR-mutated non-small cell lung cancer(NSCLC)[J].Lung Cancer,2017,111:23-29.
[18] WU Y L,CHENG Y,ZHOU X,et al.Dacomitinib versus gefitinib as first-line treatment for patients with EGFR-mutation-positive non-small-cell lung cancer(ARCHER 1050):a randomised,open-label,phase 3 trial.[J].Lancet Oncol,2017,18(11):1454-1466.
[19] 郑剑滔,郑斌,郭朝晖,等.非小细胞肺癌患者EML4-ALK基因表达与临床特征及近期生存的关系[D].福州:福建医科大学,2014.
[20] 孙海基.TP53、KRAS和EGFR基因在非小细胞肺癌顺铂辅助化疗中肿瘤标记物的研究[D].济南:山东师范大学,2009.

服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 747706 位访问者


 ©《现代医学》编辑部
联系电话:025-83272481;83272479
电子邮件: xdyx@pub.seu.edu.cn

苏ICP备09058541