实用肿瘤学杂志 ›› 2023, Vol. 37 ›› Issue (3): 262-266.doi: 10.11904/j.issn.1002-3070.2023.03.011

• 综述 • 上一篇    下一篇

TP53-EGFR共突变对非小细胞肺癌预后及治疗的研究进展

陈琪1, 何明旭1, 贾科良1, 苗健龙2 综述, 韩丽萍2 审校   

  1. 1.济宁医学院临床医学院(济宁 272000);
    2.济宁市第一人民医院呼吸与危重症医学科
  • 收稿日期:2023-03-10 修回日期:2023-04-11 出版日期:2023-06-28 发布日期:2023-08-07
  • 通讯作者: 韩丽萍,E-mail:hlphlpzxf@163.com
  • 作者简介:陈琪,女,(1996-),硕士研究生,从事肺部恶性肿瘤诊断与治疗的相关研究。
  • 基金资助:
    山东省医药卫生科技发展计划项目(编号:202103020484)

Research progress on the prognosis and treatment of non-small cell lung cancer with TP53-EGFR co-mutation

CHEN Qi1, HE Mingxv1, JIA Keliang1, MIAO Jianlong2, HAN Liping2   

  1. 1. Department of Clinical Medicine,Jining Medical University,Jining 272000,China;
    2. Department of Respiratory and Critical Medicine Care,The First People's Hospital of Jining
  • Received:2023-03-10 Revised:2023-04-11 Online:2023-06-28 Published:2023-08-07

摘要: 非小细胞肺癌(Non-small cell lung cancer,NSCLC)是全球癌症相关死亡的主要原因。表皮生长因子受体酪氨酸激酶抑制剂(Epidermal growth factor receptor tyrosine kinase inhibitor,EGFR-TKI)是目前NSCLC患者靶向表皮生长因子受体(Epidermal growth factor receptor,EGFR)突变的标准一线治疗方法,然而原发性或获得性耐药会导致治疗中断和疾病进展。TP53突变是EGFR突变型NSCLC患者中最常见的共突变,研究表明TP53-EGFR共突变提示患者预后不良,对这类突变患者的治疗方案尚未达成共识。本文就TP53突变在晚期EGFR突变型NSCLC患者中的预后价值和TP53-EGFR共突变晚期NSCLC患者治疗的研究进展进行综述。

关键词: 非小细胞肺癌, TP53-表皮生长因子受体共突变, 预后, 治疗

Abstract: Non-small cell lung cancer(NSCLC)is the main cause of cancer-related deaths worldwide.Epidermal growth factor receptor tyrosine kinase inhibitor(EGFR-TKI)is a standard first-line treatment for targeting epidermal growth factor receptor(EGFR)mutations in NSCLC patients.However,primary or acquired drug resistance leads to treatment interruption and disease progression.TP53 mutation is the most common type of co-mutation in patients with EGFR-mutant NSCLC.Many studies have shown that TP53-EGFR co-mutation indicates a poor prognosis for patients,and there is no consensus on treatment plan for patients with such mutations.This article reviews the prognostic value of TP53 mutation in patients with advanced EGFR-mutant NSCLC and the research progress of TP53-EGFR co-mutation in patients with advanced NSCLC.

Key words: Non-small cell lung cancer, TP53 Epidermal growth factor receptor co-mutation, Prognosis, Treatment

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