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皮肤鳞状细胞癌生物治疗的研究进展OA

Research Progress on Biotherapy for Cutaneous Squamous Cell Carcinoma

中文摘要英文摘要

皮肤鳞状细胞癌(cutaneous squamous cell carcinoma,cSCC)是一种常见的皮肤恶性肿瘤.早期患者通过手术、放疗等治疗手段可获得良好预后,但仍有部分进展为预后较差的晚期阶段.近年来,随着对 cSCC 分子机制(如TP53、Notch 等基因突变,EGFR 等通路异常,高肿瘤突变负荷及免疫抑制微环境)的深入理解,cSCC 的治疗已进入生物治疗时代.以 EGFR 抑制剂(如西妥昔单抗)为代表的靶向治疗和以程序性死亡受体 1 抑制剂(如西米普利单抗)为核心的免疫治疗,分别成为晚期患者的重要选择,其中免疫治疗已成为一线方案.联合治疗策略(如靶向联合免疫)也展现出提升疗效、克服耐药的潜力.本文将系统综述靶向治疗、免疫治疗、靶向联合免疫治疗相关药物在 cSCC中的临床应用进展.

Cutaneous squamous cell carcinoma(cSCC)is a common malignant tumor of the skin.Early-stage patients can achieve good prognosis through treatment methods such as surgery and radiation therapy,but there are still some who pro-gress to the advanced stage with poor prognosis.In recent years,with a deeper understanding of the molecular mechanisms of cSCC—including gene mutations(e.g.,TP53 and Notch),pathway aberrations(e.g.,EGFR signaling),high tumor mu-tational burden,and an immunosuppressive microenvironment—the treatment of cSCC has entered the era of biologic thera-py.Targeted therapy represented by EGFR inhibitors(such as cetuximab)and immunotherapy centered around programmed death-1 inhibitors(such as cemiplimab)have become important choices for advanced patients,with immunotherapy becom-ing a first-line option.Combination therapy strategies,such as targeted therapy plus immunotherapy,have also shown the po-tential to enhance efficacy and overcome drug resistance.This article will systematically review the clinical application pro-gress of drugs related to targeted therapy,immunotherapy,and their combination in cSCC.

范昔庚;张斌斌;胥锡耀;陈俊杰

643000 四川 自贡,四川轻化工大学附属医院/自贡市第四人民医院 整形烧伤创面外科643000 四川 自贡,四川轻化工大学附属医院/自贡市第四人民医院 整形烧伤创面外科643000 四川 自贡,四川轻化工大学附属医院/自贡市第四人民医院 整形烧伤创面外科610041 成都,四川大学华西医院 美容整形烧伤外科

医药卫生

皮肤鳞状细胞癌靶向治疗免疫治疗EGFR免疫检查点抑制剂进展

Cutaneous squamous cell carcinomaTargeted therapyImmunotherapyEGFRImmune checkpoint inhibi-torsProgress

《肿瘤预防与治疗》 2026 (8)

700-707,8

This study was supported by grants from Health Commission of Zigong(No.23yb010). 自贡市卫生健康系统科研课题(编号:23yb010)

10.3969/j.issn.1674-0904.2026.08.010

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