中国实用妇科与产科杂志

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靶向治疗对复发性耐药性卵巢癌的治疗价值

白萍舒桐孙慧   

  1. 作者单位:中国医学科学院肿瘤医院,北京 100021
  • 出版日期:2015-03-02 发布日期:2015-04-01

The therapeutic role of targeted therapy in the treatment for recurrent platinum-resistant ovarian cancer.

BAI Ping,SHU Tong,SUN Hui.   

  1. Tumor Hospital of Chinese Academy of Medical Sciences,Beijing 100021,China
  • Online:2015-03-02 Published:2015-04-01

摘要:

卵巢癌复发率高,预后差,多数患者在反复间断化疗后最终都会出现耐药。近年来靶向药物在复发性耐药性卵巢癌的临床试验中取得了较为可喜的结果。广泛研究的靶向药物有血管内皮生长因子受体抑制剂如贝伐单抗,DNA损伤修复抑制剂如奥拉帕尼、Veliparib,血管生成素抑制剂如Trebananib,叶酸受体抑制剂如Vintafolide等等。近期研究显示,这些药物可延长铂耐药卵巢癌患者的无疾病间期。其中贝伐单抗联合单药化疗是目前临床应用较为成熟的治疗方案。文章重点介绍靶向治疗在复发性耐药性卵巢癌临床研究中的最新进展。

关键词: 靶向治疗, 卵巢肿瘤, 耐药, 复发

Abstract:

Abstract:Ovarian cancer is noted for high recurrence and poor prognosis.Drug-resistance will eventually appear after repeated intermittent chemotherapy by most patients.There are a number of promising results of targeted therapy in recent clinical trials for patients with platinum-resistant OC.Drugs in extensive research include vascular endothelial growth factor inhibitor,such as Bevacizumab,DNA repair inhibitor,such as Olaparib and Veliparib,angiogenin inhibitor,such as Trebananib,and folate receptor inhibitor,such as Vintafolide,et al.These drugs have recently shown to improve progression-free survival of patients with platinum-resistant OC.Bevacizumab in combination with single-agent chemotherapy was considered as preferred treatment.In this review,the latest developments of targeted therapy in the platinum-resistant recurrent OC are highlighted.

Key words: targeted therapy, ovarian cancer, platinum-resistance, recurrent

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