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Fighting Lung Cancer Through the HER Family of Surface Receptors (Hardcover)
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Fighting Lung Cancer Through the HER Family of Surface Receptors (Hardcover)
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Lung cancer is the most common and most lethal malignancy
world-wide, causing 1.4 million diseases every year. Half of
non-small cell lung cancers (NSCLC) are diagnosed at such an
advanced stage that a cure cannot be considered a realistic aim,
and over 75% of cases selected for a curative treatment eventually
relapse within five years. The 5-year overall survival rates are
less than 20% for NSCLC patients. As a disease, NSCLC demands our
maximum abilities as researchers, physicians, and care-givers, and
a continuous updating of our knowledge. Conventional chemotherapy
for advanced NSCLC does not provide a great long-term benefit in
terms of survival. Accordingly, a different therapeutic approach
has to be explored. The human epidermal growth factor family of
surface receptors (HER) became a critical target to be
investigated. The epidermal growth factor receptor (EGFR) is
over-expressed in over 80% of non-small cell lung cancer. The
presence of sensitising conformational mutations in the EGFR
increases the efficacy of modern tyrosine kinase inhibitors against
its inner portion (EGFR-TKI). The EGFR-TKIs greatly prolong
disease-free survival of those patients harbouring sensitising EGFR
mutations, and have been suggested as an essential tool in the
therapeutic repertoire. This volume aims to serve as an updated
compendium of biology and applications of anti-EGFR therapies, and
offers a look at the future of anti-HER therapy in lung cancer.
This volume exhaustively reviews and discusses: 1) the nature and
significance of activating EGFR mutations, and those clinical and
pathological phenomena related to HER alterations; 2) the most
common laboratory methodologies to study EGFR, and the future of
HER analysis; 3) the right time to analyse EGFR mutations and
evolutionary changes in the HER; 4) EGFR-TKI application in
unselected and selected NSCLC patients; 5) upcoming anti-HER
therapies; 6) the eventual role of anti-HER therapies in early
NSCLC; 7) mechanisms of acquired resistance to anti-HER therapies,
and experimental and conventional strategies to bypass them; 8) the
application of anti-HER therapies in other malignancies. This book
is an indispensable handbook for all those specialists devoted to
the diagnosis and management of lung cancer.
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