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World J Gastroenterol ; 23(26): 4675-4688, 2017 Jul 14.
Artigo em Inglês | MEDLINE | ID: mdl-28765689

RESUMO

In the last two decades, great efforts have been made in the treatment of metastatic colorectal cancer (mCRC) due to the approval of new target agents for cytotoxic drugs. Unfortunately, a large percentage of patients present with metastasis at the time of diagnosis or relapse after a few months. The complex molecular heterogeneity of this disease is not completely understood; to date, there is a lack of predictive biomarkers that can be used to select subsets of patients who may respond to target drugs. Only the RAS-mutation status is used to predict resistance to anti-epidermal growth factor receptor agents in patients with mCRC. In this review, we describe approved targeted therapies for the management of metastatic mCRC and discuss new candidate targets on the horizon.


Assuntos
Antineoplásicos/uso terapêutico , Neoplasias Colorretais/tratamento farmacológico , Antineoplásicos/farmacologia , Quimioterapia Adjuvante , Neoplasias Colorretais/genética , Neoplasias Colorretais/metabolismo , Humanos , Terapia de Alvo Molecular , Metástase Neoplásica , Medicina de Precisão
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