无症状脑转移、表皮生长因子受体突变阳性的非小细胞肺癌患者的治疗方案选择:脑部放疗的最佳时机?

来源 :第十七届全国临床肿瘤学大会暨2014年CSCO学术年会 | 被引量 : 0次 | 上传用户:doujiazhi
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目的:脑转移为非小细胞肺癌(NSCLC)患者的常见并发症,自然病程通常为4-11周.全脑放疗(WBRT)将此类患者的生存期延长至3-6个月,但有效率仅为25-30%.表皮生长因子受体(EGFG)酪氨酸激酶抑制剂(TKI)的应用,进一步延长了EGFR突变阳性脑转移患者的生存期.然而高达11-44%的脑转移灶对TKI抗拒.本试验通过系统性回顾EGFR突变阳性、无症状脑转移的NSCLC患者的临床资料,分析脑部放疗(BRT)的疗效,探讨BRT的最佳时机以及BRT联合TKI的最佳模式.
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