Brain Metastases in Non-Small-Cell Lung Cancer

被引:27
作者
Dawe, David E. [1 ]
Greenspoon, Jeffrey N. [2 ]
Ellis, Peter M. [2 ]
机构
[1] Univ Manitoba, Dept Internal Med, Winnipeg, MB R3E 0V9, Canada
[2] McMaster Univ, Dept Oncol, Hamilton, ON, Canada
关键词
Chemotherapy; Radiotherapy; Review; Stereotactic radiosurgery; Targeted agents; PROPHYLACTIC CRANIAL IRRADIATION; RANDOMIZED PHASE-III; GRADED PROGNOSTIC ASSESSMENT; NERVOUS-SYSTEM PROGRESSION; PARTITIONING ANALYSIS RPA; GAMMA-KNIFE SURGERY; RADIATION-THERAPY; STEREOTACTIC RADIOSURGERY; MOTEXAFIN GADOLINIUM; SINGLE METASTASES;
D O I
10.1016/j.cllc.2014.04.008
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Up to 50% of patients with advanced non-small-cell lung cancer will develop brain metastases at some point during their illness. These metastases cause a substantial burden in morbidity and mortality, which has motivated research and technological innovation over the past 2 decades. Surgery, radiotherapy, and systemic therapies have each played a role in management, with the greatest changes associated with the popularization of stereotactic radiosurgery. In this review, the evidence behind each modality used in the management of brain metastases for non small-cell lung cancer patients is examined, and recommendations regarding the current standards of care and areas of future research focus are provided. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:249 / 257
页数:9
相关论文
共 107 条
  • [51] Hypofractionated stereotactic radiotherapy with or without whole-brain radiotherapy for patients with newly diagnosed brain metastases from non-small cell lung cancer Clinical article
    Ma, Liang-Hua
    Li, Guang
    Zhang, Hong-Wei
    Wang, Zhi-Yu
    Dang, Jun
    Zhang, Shuo
    Yao, Lei
    Zhang, Xiao-Meng
    [J]. JOURNAL OF NEUROSURGERY, 2012, 117 : 49 - 56
  • [52] High risk of brain metastases in surgically staged IIIA non-small-cell lung cancer patients treated with surgery, chemotherapy, and radiation
    Mamon, HJ
    Yeap, BY
    Jänne, PA
    Reblando, J
    Shrager, S
    Jaklitsch, MT
    Mentzer, S
    Lukanich, JM
    Sugarbaker, DJ
    Baldini, EH
    Berman, S
    Skarin, A
    Bueno, R
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 2005, 23 (07) : 1530 - 1537
  • [53] MOTEXAFIN GADOLINIUM COMBINED WITH PROMPT WHOLE BRAIN RADIOTHERAPY PROLONGS TIME TO NEUROLOGIC PROGRESSION IN NON-SMALL-CELL LUNG CANCER PATIENTS WITH BRAIN METASTASES: RESULTS OF A PHASE III TRIAL
    Mehta, Minesh P.
    Shapiro, William R.
    Phan, See C.
    Gervais, Radj
    Carrie, Christian
    Chabot, Pierre
    Patchell, Roy A.
    Glantz, Michael J.
    Recht, Lawrence
    Langer, Corey
    Sur, Ranjan K.
    Roa, Wilson H.
    Mahe, Marc A.
    Fortin, Andre
    Nieder, Carsten
    Meyers, Christina A.
    Smith, Jennifer A.
    Miller, Richard A.
    Renschler, Markus F.
    [J]. INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2009, 73 (04): : 1069 - 1076
  • [54] Survival and neurologic outcomes in a randomized trial of motexafin gadolinium and whole-brain radiation therapy in brain metastases
    Mehta, MP
    Rodrigus, P
    Terhaard, CHJ
    Rao, A
    Suh, J
    Roa, W
    Soukami, L
    Bezjak, A
    Leibenhaut, M
    Komaki, R
    Schultz, C
    Timmerman, R
    Curran, W
    Smith, J
    Phan, SC
    Miller, RA
    Renschler, MF
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 2003, 21 (13) : 2529 - 2536
  • [55] Neurocognitive function and progression in patients with brain metastases treated with whole-brain radiation and motexafin gadolinium: Results of a randomized phase III trial
    Meyers, CA
    Smith, JA
    Bezjak, A
    Mehta, MP
    Liebmann, J
    Illidge, T
    Kunkler, I
    Caudrelier, JM
    Eisenberg, PD
    Meerwaldt, J
    Siemers, R
    Carrie, C
    Gaspar, LE
    Curran, W
    Phan, SC
    Miller, RA
    Renschler, MF
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 2004, 22 (01) : 157 - 165
  • [56] Minniti G, 2010, ANTICANCER RES, V30, P3055
  • [57] Mintz AH, 1996, CANCER, V78, P1470, DOI 10.1002/(SICI)1097-0142(19961001)78:7<1470::AID-CNCR14>3.0.CO
  • [58] 2-X
  • [59] Modi Amit, 2009, Interact Cardiovasc Thorac Surg, V8, P467, DOI 10.1510/icvts.2008.195776
  • [60] Microsurgery plus whole brain irradiation versus Gamma Knife surgery alone for treatment of single metastases to the brain: a randomized controlled multicentre phase III trial
    Muacevic, Alexander
    Wowra, Berndt
    Siefert, Axel
    Tonn, Joerg-Christian
    Steiger, Hans-Jakob
    Kreth, Friedrich W.
    [J]. JOURNAL OF NEURO-ONCOLOGY, 2008, 87 (03) : 299 - 307