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Cetuximab in non-melanoma skin cancer.

机译:西妥昔单抗用于非黑色素瘤皮肤癌。

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Non-melanoma skin cancer (NMSC) has become the most common cancer with squamous cell carcinoma (SCC) as the major cause of morbidity and mortality. REVIEW AREAS COVERED: The chimeric human-mouse monoclonal antibody Cetuximab against epidermal growth factor receptor (EGFR) has been approved for advanced head and neck cancer (HNC). Since SCC has been shown to express the EGFR, EGFR-targeted therapy is an option.A PUBMED research 2000 - 2012 have been conducted using the following items: "Non-melanoma skin cancer AND cetuximab," "cutaneous squamous cell carcinoma AND cetuximab," and "basal cell carcinoma AND cetuximab."Current evidence of cetuximab efficacy in NMSC results from a Phase II trial and case reports. Cetuximab can be combined with radiotherapy in analogy to HNC. The total response rate is almost 50% in patients with SCC. The combination with radiotherapy resulted in a complete response rate of 50%. Management of adverse reactions in SCC with particular emphasis on cutaneous toxicities is necessary. Further controlled trials are needed. EXPERT OPINION: EGFR inhibitor cetuximab is an option for recurrent or advanced SCC of skin. The combination with radiotherapy seems to be superior to cetuximab alone.
机译:非黑色素瘤皮肤癌(NMSC)已成为最常见的癌症,鳞状细胞癌(SCC)是发病率和死亡率的主要原因。综述领域:针对表皮生长因子受体(EGFR)的嵌合人鼠单克隆抗体西妥昔单抗已被批准用于晚期头颈癌(HNC)。由于已证明SCC可表达EGFR,因此可以选择针对EGFR的疗法。2000年至2012年进行的PUBMED研究使用了以下项目:“非黑色素瘤皮肤癌和西妥昔单抗”,“皮肤鳞状细胞癌和西妥昔单抗”,和“基底细胞癌和西妥昔单抗”。西妥昔单抗在NMSC中的有效性的当前证据来自II期试验和病例报告。西妥昔单抗可以与HNC类似地与放疗联合使用。 SCC患者的总缓解率接近50%。与放疗相结合,可达到50%的完全缓解率。应对SCC中的不良反应进行管理,尤其要重视皮肤毒性。需要进一步的对照试验。专家意见:EGFR抑制剂西妥昔单抗是皮肤复发或晚期SCC的一种选择。放疗联合治疗似乎优于单独使用西妥昔单抗。

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