Medicina / Ciências Médicas e da Saúde Dissertações de Mestrado
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O EGFR como alvo molecular na terapêutica do cancro do pulmão
Autor:
Nuno David Monteiro Coimbra
Mestrado Integrado em Medicina Instituto de Ciências Biomédicas Abel Salazar
Universidade do Porto
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Resumo
Lung cancer remains the leading cause of
cancer-related mortality worldwide, being responsible for more than a
million deaths each year. Its peak incidence occurs between 55 and 65
years and about 85% of all patients will die within 5 years after
diagnosis. With such a mortality and a number of new cases exceeding 1.5
millions every year (1, 2), new treatment strategies beyond conventional
therapy are urgently needed to overcome such a poor prognosis. Lung
cancer has been associated to cigarette smoking several decades ago,
although, like in other cancers, the accumulation of genetic
abnormalities in a stepwise process is part of the malignant
transformation mechanism. As smoking habits progressively decreased in
men, lung cancer incidence was also reduced in the male sex. By
contrast, given the increasing smoking habits in women, incidence and
mortality are increasing in this group. Despite this marked causal
effect, only 25% of all lung cancers develop in non-smokers, more
commonly in women. Most of these are adenocarcinomas. On the other hand,
cigarette smoke is more often associated with small cell and squamous
cell carcinomas. Other risk factors for developing lung cancer include
industrial exposures (uranium, radiation, asbestos) and air pollution,
not only by atmospheric pollutants but also by indoor agents like radon.
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