化疗
医学
临床试验
恶性肿瘤
卵巢癌
疾病
肿瘤科
内科学
重症监护医学
癌症
生物信息学
生物
作者
Cláudia Marchetti,Francesca De Felice,Alessia Romito,Valentina Iacobelli,Carolina Maria Sassu,Giacomo Corrado,Caterina Ricci,Giovanni Scambia,Anna Fagotti
标识
DOI:10.1016/j.semcancer.2021.08.011
摘要
Ovarian cancer (OC) remains a fatal malignancy because most patients experience recurrent disease, which is resistant to chemotherapy. The outcomes for patients with platinum-resistant OC are poor, response rates to further chemotherapy are low and median survival is lower than 12 months. The complexity of platinum-resistant OC, which comprises a heterogeneous spectrum of diseases, is indeed far from being completely understood. Therefore, comprehending tumors' biological behaviour to identify reliable biomarkers, which may predict responses to therapies, is a demanding challenge to improve OC management. In the age of precision medicine, efforts to overcome platinum resistance in OC represent a dynamic and vast field in which innovative drugs and clinical trials rapidly develop. This review will present the exceptional biochemical environment implicated in OC and highlights mechanisms of chemoresistance. Furthermore, innovative molecules and new therapeutic opportunities are presented, along with currently available therapies and ongoing clinical trials.
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