Integrative Modeling of Tumor Burden and Metastatic Pattern for Guiding Anti-PD-L1 Treatment of Non–Small Cell Lung Cancer: Results From Two Randomized Studies

2020 ◽  
Author(s):  
Si-Cong Ma ◽  
Xin-Ran Tang ◽  
Xue Bai ◽  
Zhi-Jiao Duan ◽  
Jian Wang ◽  
...  
2020 ◽  
Vol 21 (5) ◽  
pp. e405-e414
Author(s):  
Taichi Miyawaki ◽  
Hirotsugu Kenmotsu ◽  
Keita Mori ◽  
Eriko Miyawaki ◽  
Nobuaki Mamesaya ◽  
...  

2020 ◽  
Vol 30 (9) ◽  
pp. 5021-5028
Author(s):  
Alison Dormieux ◽  
Laura Mezquita ◽  
Paul Henry Cournede ◽  
Jordi Remon ◽  
Melodie Tazdait ◽  
...  

Cancers ◽  
2021 ◽  
Vol 13 (24) ◽  
pp. 6374
Author(s):  
Raphael S. Werner ◽  
Isabelle Opitz

One-fourth of all patients with metastatic non-small cell lung cancer presents with a limited number of metastases and relatively low systemic tumor burden. This oligometastatic state with limited systemic tumor burden may be associated with remarkably improved overall and progression-free survival if both primary tumor and metastases are treated radically combined with systemic therapy. This local aggressive therapy (LAT) requires a multidisciplinary approach including medical oncologists, radiation therapists, and thoracic surgeons. A surgical resection of the often advanced primary tumor should be part of the radical treatment whenever feasible. However, patient selection, timing, and a correct treatment allocation for LAT appear to be essential. In this review, we aimed to summarize and discuss the current evidence on patient selection criteria such as characteristics of the primary tumor and metastases, response to neoadjuvant or first-line treatment, molecular characteristics, mediastinal lymph node involvement, and other factors for LAT in oligometastatic NSCLC.


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