Zusammenfassung
Beim metastasierten, nichtkleinzelligen Lungenkarzinom sind mittlerweile viele Subtypen bekannt. Die fünf Säulen der Therapie sind die Chemotherapie, die antiangiogene Therapie, die molekular gezielte Therapie, die Immuntherapie und die frühe palliative Betreuung. Letztere Maßnahme sollte bei allen metastasierten Lungenkarzinomen angewendet werden, der Einsatz der anderen Therapiemodalitäten richtet sich nach dem histologischen Subtyp sowie nach immunhistochemischen und molekularpathologischen Eigenschaften des Tumors.
Abstract
Metastatic non-small cell lung cancer has now been subdivided into several subtypes. The five basic principles of treatment include chemotherapy, anti-angiogenic therapy, targeted therapy, immunotherapy and early palliative care. The latter should be implemented for all patients with metastatic lung cancer. The use of the other modalities depends on the histological subtype, as well as on the immunohistochemical and molecular features of the tumor.
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D.F. Heigener: Mitglied in wissenschaftlichen Beiräten und Honorare für Vorträge sowie Erstattung von Reisekosten von: Boehringer Ingelheim, Roche, Lilly, AstraZeneca, BMS, MSD und Pfizer. M. Reck: Mitglied in wissenschaftlichen Beiräten und Honorare für Vorträge sowie Erstattung von Reisekosten von: Roche Genentech, AstraZeneca, Pfizer, MSD, BMS, Boehringer Ingelheim, Novartis, Celgene und Lilly.
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H. Haller, Hannover
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Heigener, D.F., Reck, M. Lungenkarzinom. Internist 58, 1258–1263 (2017). https://doi.org/10.1007/s00108-017-0339-4
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DOI: https://doi.org/10.1007/s00108-017-0339-4
Schlüsselwörter
- Nichtkleinzelliges Lungenkarzinom
- Treibermutation
- Immuntherapie
- Antiangiogenese
- Frühe palliative Betreuung