Аннотация
Колоректальный рак (КРР) — гетерогенное заболевание с огромным количеством изменений на клеточном и молекулярном уровнях. Мутации в гене KRAS встречаются почти у каждого второго пациента с КРР и служат как прогностическим, так и предиктивным биомаркером. Отдельной прогностически неблагоприятной когортой являются пациенты с KRASG12C-позитивным мКРР, на долю которых приходится около 4 % всех случаев. В настоящее время сразу несколько ингибиторов, специфичных для аллеля KRASG12C, проходят III фазу клинических испытаний; кроме того, активно изучаются новые препараты и стратегии лечения. В этой статье мы приводим анализ современных подходов к лечению пациентов с KRAS-mut мКРР.
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