复发转移性鼻咽癌的综合治疗进展
Advances in Comprehensive Treatment of Recurrent and Metastatic Nasopharyngeal Carcinoma
DOI: 10.12677/acm.2025.15102789, PDF,   
作者: 周 艳:吉首大学医学院,湖南 吉首;熊 莉*:吉首大学第一附属医院肿瘤科(湘西自治州人民医院),湖南 吉首
关键词: 鼻咽癌放化疗靶向治疗免疫治疗局部治疗维持治疗Nasopharyngeal Carcinoma Chemoradiotherapy Targeted Therapy Immunotherapy Local Therapy Maintenance Therapy
摘要: 鼻咽癌是有着明显地域性的恶性头颈部肿瘤,主要分布于中国两广地区,广东和广西。远处转移和局部复发是鼻咽癌治疗失败的主要原因,早期鼻咽癌主要以根治性放疗治疗为主,而晚期主要以综合治疗为主,着重于个体化治疗。近年来,随着免疫治疗及靶向治疗取得了突破性成就,晚期鼻咽癌的治疗方案也有所变化。本文就同步放化疗,免疫治疗,靶向治疗,局部治疗,维持治疗五方面进行简要概述。
Abstract: Nasopharyngeal carcinoma (NPC) is a highly regional malignant head and neck tumor, predominantly endemic to Guangdong and Guangxi provinces in southern China. Distant metastasis and locoregional relapse remain the principal causes of treatment failure. Early-stage NPC is managed primarily with radical radiotherapy, whereas advanced disease is treated with comprehensive treatment, focusing on the individualized therapy. Recent breakthroughs in immunotherapy and targeted agents have reshaped therapeutic strategies for late-stage NPC. This review provides a concise update on five key modalities: concurrent chemoradiotherapy, immunotherapy, targeted therapy, locoregional treatment, and maintenance therapy.
文章引用:周艳, 熊莉. 复发转移性鼻咽癌的综合治疗进展[J]. 临床医学进展, 2025, 15(10): 550-554. https://doi.org/10.12677/acm.2025.15102789

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