Personalising Treatment for High-Grade Serous Ovarian Carcinoma

被引:18
作者
Cojocaru, E. [1 ]
Parkinson, C. A. [1 ,2 ]
Brenton, J. D. [1 ,2 ]
机构
[1] Cambridge Univ Hosp, Dept Oncol, Cambridge, England
[2] Univ Cambridge, Canc Res UK Cambridge Inst, Cambridge, England
关键词
Genomics; high-grade serous ovarian cancer; PARP inhibitors; RECURRENT EPITHELIAL OVARIAN; PHASE-III TRIAL; OLAPARIB MAINTENANCE THERAPY; CIRCULATING TUMOR DNA; DOUBLE-BLIND; OPEN-LABEL; INTRAPERITONEAL CISPLATIN; FALLOPIAN-TUBE; ONCOLOGY-GROUP; PROGNOSTIC-SIGNIFICANCE;
D O I
10.1016/j.clon.2018.05.008
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Ovarian cancer is a heterogeneous group of cancers that differ by cell of origin and genomic features. High-grade serous ovarian cancer (HGSOC) is the commonest histiotype and is characterized by extreme genomic complexity and dysregulation of DNA damage repair pathways, particularly homologous recombination deficiency. New insights from molecular profiling into homologous recombination deficiency now offers the credible possibility of personalizing treatment choices for women with HGSOC using poly(ADP-ribose) polymerase inhibitor (PARP) therapy. Although the presence of tumour infiltrating lymphocytes (TILs) in the microenvironment is associated with improved survival in HGSOC, the role of anti-angiogenic and immune checkpoint inhibitor therapy remains unclear. PARP inhibition combined with immunotherapy is an exciting combination strategy for future therapeutic development for women with advanced HGSOC. (C) 2018 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:515 / 524
页数:10
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