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 |
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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. |
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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.</description><identifier>ISSN: 2072-6694</identifier><identifier>EISSN: 2072-6694</identifier><identifier>DOI: 10.3390/cancers14071656</identifier><identifier>PMID: 35406428</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>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</subject><ispartof>Cancers, 2022-03, Vol.14 (7), p.1656</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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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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