Multimodality Treatment including Surgery Related to the Type of N2 Involvement in Locally Advanced Non-Small Cell Lung Cancer

For patients with locally advanced non-small cell lung cancer (NSCLC) or positive N1 nodes, multimodality treatment is indicated. However, the optimal management of patients presenting with ipsilateral positive mediastinal nodes (N2 disease) has not been determined yet. Different treatment regimens...

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Veröffentlicht in:Cancers 2022-03, Vol.14 (7), p.1656
Hauptverfasser: Allaeys, Toon, Berzenji, Lawek, Lauwers, Patrick, Yogeswaran, Suresh Krishan, Hendriks, Jeroen M H, Billiet, Charlotte, De Bondt, Charlotte, Van Schil, Paul E
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container_end_page
container_issue 7
container_start_page 1656
container_title Cancers
container_volume 14
creator Allaeys, Toon
Berzenji, Lawek
Lauwers, Patrick
Yogeswaran, Suresh Krishan
Hendriks, Jeroen M H
Billiet, Charlotte
De Bondt, Charlotte
Van Schil, Paul E
description For patients with locally advanced non-small cell lung cancer (NSCLC) or positive N1 nodes, multimodality treatment is indicated. However, the optimal management of patients presenting with ipsilateral positive mediastinal nodes (N2 disease) has not been determined yet. Different treatment regimens consisting of chemotherapy, radiation therapy, and surgery have been proposed and implemented previously. In more recent years, immunotherapy and targeted therapies have been added as therapeutic options. The role of surgery is currently redefined. Recent studies have shown that surgical resection after induction immunotherapy or targeted therapy is feasible and yields good short-term results. In this review, we summarize the latest data on multimodality treatment options for stage IIIA-N2 locally advanced NSCLC, depending on the extent of nodal involvement.
doi_str_mv 10.3390/cancers14071656
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source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; PubMed Central
subjects Algorithms
Cancer therapies
Chemotherapy
Clinical medicine
Immunotherapy
Lung cancer
Lymphatic system
Medical prognosis
Metastasis
Multidisciplinary teams
Nodes
Non-small cell lung carcinoma
Patients
Radiation therapy
Review
Small cell lung carcinoma
Surgery
title Multimodality Treatment including Surgery Related to the Type of N2 Involvement in Locally Advanced Non-Small Cell Lung Cancer
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