Zhongguo aizheng zazhi (Apr 2024)

Progress in treatment of gynecological cancer in 2023

  • FENG Zheng, GUO Qinhao, ZHU Jun, WU Xiaohua, WEN Hao

DOI
https://doi.org/10.19401/j.cnki.1007-3639.2024.04.002
Journal volume & issue
Vol. 34, no. 4
pp. 340 – 360

Abstract

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Compared with the global situation, it can be found that the cancer incidence in China is close to the world average level, but the mortality rate has difference compared with the global average level. The burden of gynecological cancers in China is increasing, with large differences between urban and rural areas and uneven regional distribution. Therefore, the situation of cancer prevention and control is still challenging. In recent years, new technologies and drugs, such as immune checkpoint inhibitors (ICIs) and antibody-drug conjugate (ADC), have been introduced into clinical practice, bringing new hope for the treatment of gynecological cancers. This article reviewed the major research progress of gynecological cancers in 2023. Among them, in terms of the progress of treatment for cervical cancer, we reviewed the innovation of standard treatment mode and the related progress of post-line treatment for advanced recurrent and metastatic cervical cancer (clinical research such as ENGOT-cx11/GOG-3047/KEYNOTE-A18, KEYNOTE-826). In terms of treatment for ovarian cancer, this review summarized the latest progress of PARP inhibitors, immunotherapy, first-line treatment of newly diagnosed ovarian cancer and treatment of recurrent ovarian cancer (FLAMES, ANITA/ENGOT-Ov41/GEICO 69-O, NRG-GY004, etc.). In terms of treatment for endometrial cancer, this study reviewed the progress in the treatment of locally advanced endometrial cancer (GOG 258, Lunchbox clinical research, etc.) and advanced/recurrent metastatic endometrial cancer (ENGOT-EN6-NSGO/GOG-3031/RUBY research, etc.), and summarized the exploration of back-line targeted immunotherapy (such as KEYNOTE-775, ADAGIO and other clinical studies). This study combed the progress of gynecological tumors in 2023 from the above aspects, aiming at providing reference for clinical practice and clinical research.

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