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Received:April 26, 2023 Published Online:December 20, 2023
Received:April 26, 2023 Published Online:December 20, 2023
中文摘要: 免疫抑制剂改变了晚期结直肠癌患者的治疗格局,并彰显出了巨大的生存收益,目前指南获批的免疫药物已经在临床上广泛使用,但早中期结直肠癌患者主要治疗方式为手术切除、放疗、化疗、抗血管生成等综合治疗,免疫抑制剂在这些患者中的治疗地位尚未明确。本文就早中期微卫星不稳定及稳定型结直肠癌免疫治疗进展进行综述,总结了现有以及正在探索的免疫新辅助治疗或免疫联合疗法等模式,以期免疫治疗能为早中期结直肠癌患者提供更多的选择。
Abstract:Immunosuppressive drugs have changed the treatment pattern of patients with advanced colorectal cancer and demonstrated huge survival benefits. Currently, immune drugs approved by the guidelines have been widely used clinically, but the main treatment methods for patients with early and middle colorectal cancer are surgical resection, radiotherapy, chemotherapy, anti-angiogenesis and other comprehensive treatments. The therapeutic status of immunosuppressants in these patients is not yet clear. In this paper, immunotherapy for early-stage and mid-stage microsatellite instability and stability colorectal cancer is reviewed, and the existing and ongoing immunoneoadjuvant therapy or immunocombination therapy models are summarized, hoping that immunotherapy can provide more choices for patients with early-stage and mid-stage colorectal cancer.
keywords: Microsatellite instability Microsatellite stability Early and middle colorectal cancer Immunotherapy Atilizumab Cindilimab Navulizumab Crelizumab Bevacizumab Teriprizumab
文章编号: 中图分类号:R735.3+5 文献标志码:A
基金项目:国家自然科学基金资助项目(82273162)
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