Adjuvant treatment in resected non-small cell lung cancer: Current and future issues

被引:12
作者
Remon, Jordi [1 ]
Lianes, Pilar [1 ]
Martinez, Susana [1 ]
Velasco, Montserrat [1 ]
Querol, Rosa [1 ]
Zanui, Montserrat [1 ]
机构
[1] Hosp Mataro, Dept Med Oncol, Barcelona 08304, Spain
关键词
Adjuvant chemotherapy; Lung cancer; Stage IB-IIIA; VINORELBINE PLUS CISPLATIN; INSTITUTE-OF-CANADA; III BETA-TUBULIN; POOLED ANALYSIS; PHASE-III; STAGE-II; DNA-REPAIR; POSTOPERATIVE RADIOTHERAPY; 1ST-LINE TREATMENT; PROGNOSTIC-FACTOR;
D O I
10.1016/j.critrevonc.2013.05.017
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The cornerstone of treatment for early-stage non-small cell lung cancer (NSCLC) has been surgical resection. In the last five years two phase III trials have provided evidence of adjuvant platinum-based chemotherapy for completely resected stage II-IIIA patients. We review the evidence supporting adjuvant therapy in early-stage NSCLC; we discuss new issues surrounding adjuvant therapy such as treatment in the elderly-unfit population, treatment toxicity and its influence on outcomes, the importance of histology and gender in adjuvant treatment; and we discuss the future landscape of early-stage NSCLC research, namely, therapeutic strategies exploiting pharmacogenomic and gene-expression profiling, in an attempt to customize the treatment. (C) 2013 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:375 / 386
页数:12
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