2018
DOI: 10.1016/j.critrevonc.2018.01.007
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Treatment of squamous cell carcinoma of the anal canal: A new strategies with anti-EGFR therapy and immunotherapy

Abstract: The incidence of squamous cell carcinoma of the anal canal (SCAC) is increasing in both sexes but the standard treatment remains that of 20 years ago. However, interesting data have recently emerged on the use of anti-epidermal growth factor receptor (EGFR) agents and immunotherapy in advanced disease. Thus, new avenues of research are opening up that will hopefully lead to more effective therapeutic strategies. We provide an overview of the latest studies published on this tumor and discuss the possible futur… Show more

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Cited by 9 publications
(4 citation statements)
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“…Toxicity was deemed unacceptable and led to early discontinuation in two of these trials and also showed poor long‐term efficacy results . Other studies with cetuximab‐chemoradiation did not support further clinical development in phase III trials of cetuximab in patients with SCCAC, either due to small numbers, excessive toxicity or incomplete/inconclusive efficacy data . It should be noted that those studies testing cetuximab were conducted mainly with cisplatin‐5FU as a chemotherapy partner .…”
Section: Discussionmentioning
confidence: 99%
“…Toxicity was deemed unacceptable and led to early discontinuation in two of these trials and also showed poor long‐term efficacy results . Other studies with cetuximab‐chemoradiation did not support further clinical development in phase III trials of cetuximab in patients with SCCAC, either due to small numbers, excessive toxicity or incomplete/inconclusive efficacy data . It should be noted that those studies testing cetuximab were conducted mainly with cisplatin‐5FU as a chemotherapy partner .…”
Section: Discussionmentioning
confidence: 99%
“…KRT5 (CV of 333 samples: 0.083) and TP63 (CV of 333 samples: 0.069), as known SCC diagnostic markers 25 , showed a high and ubiquitous expression level among all SCCs. EGFR and CD274 (PDL1), serve as limited therapeutic targets for SCCs 38 42 , presented similar expression level across all SCCs. Frequently copy-number gain gene AKT1 expressed ubiquitously (CV of 333 samples: 0.060) in all cases, whereas YAP1 , AKT3 , and SOX2 exhibited different extent loss of expression on protein level (AKT1, YAP1, AKT3, and SOX2), indicating differentially activated signaling in 17 SCCs.…”
Section: Resultsmentioning
confidence: 99%
“…EGFR signaling modulates diverse cell functions and promotes cellular proliferation, differentiation, migration, growth, and survival [53]. Mutations in EFGR lead to its overexpression (upregulation or amplification), which is associated with many cancers, including lung cell carcinoma [54], glioblastoma [55], anal cancer [56], and epithelial tumors in the head and neck [57]. Previous studies have indicated that EGFR activation plays a pivotal role in the development of HCC [58, 59]; however, there is no evidence to support the downregulation of EGFR expression by RSM.…”
Section: Discussionmentioning
confidence: 99%