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中华结直肠疾病电子杂志 ›› 2022, Vol. 11 ›› Issue (05) : 415 -419. doi: 10.3877/cma.j.issn.2095-3224.2022.05.010

综述

转移性结直肠癌三线治疗的研究现状及进展
杨文蔚1, 牛雅茹1, 孙永琨2,()   
  1. 1. 100021 北京,国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院肿瘤内科
    2. 100021 北京,国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院肿瘤内科;065001 廊坊,国家癌症中心/国家肿瘤临床医学研究中心/河北中国医学科学院肿瘤医院肿瘤内科
  • 收稿日期:2022-04-26 出版日期:2022-10-25
  • 通信作者: 孙永琨
  • 基金资助:
    希思科-恒瑞肿瘤研究基金项目(Y-HR2019-0285)

Research status and progression of third-line therapy for refractory metastatic colorectal cancer

Wenwei Yang1, Yaru Niu1, Yongkun Sun2,()   

  1. 1. Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
    2. Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China; Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Hebei Cancer Hospital, Chinese Academy of Medical Sciences, Langfang 065001, China
  • Received:2022-04-26 Published:2022-10-25
  • Corresponding author: Yongkun Sun
引用本文:

杨文蔚, 牛雅茹, 孙永琨. 转移性结直肠癌三线治疗的研究现状及进展[J]. 中华结直肠疾病电子杂志, 2022, 11(05): 415-419.

Wenwei Yang, Yaru Niu, Yongkun Sun. Research status and progression of third-line therapy for refractory metastatic colorectal cancer[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2022, 11(05): 415-419.

转移性结直肠癌(mCRC)预后较差,其三线治疗仍是一大难题。为进一步延长mCRC患者的生存时间,新型口服药瑞戈非尼、曲氟尿苷/替匹嘧啶(TAS-102)及呋喹替尼已陆续获得批准成为mCRC的标准三线治疗,另有一些有前景的药物也进入了临床研究。本文将综述难治性结直肠癌患者的三线治疗用药选择以及该领域新兴的治疗方案,并探讨用药顺序对患者生存获益的影响。

Patients with metastatic colorectal cancer (mCRC) have poor prognoses, and selecting effective therapy in the third-line settings is still a challenge. To extend patient survival time, several novel oral agents, including regorafenib, trifluridine/tipiracil (TAS-102) and fruquintinib, have been gradually approved as standard therapy for refractory mCRC. More promising agents are under clinical research. In this review, we summarized the currently approved treatment and emerging treatment options for refractory mCRC, and also discussed if the treatment sequence of several different regimens would affect the survival benefit of refractory mCRC patients.

表1 转移性结直肠癌三线标准治疗
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