Chinese Journal of Clinical Oncology 2019;46(14):707-711

doi:10.3969/j.issn.1000-8179.2019.14.812

Advances in the treatment of patients with stageⅡ-ⅢA non-small cell lung cancer and the EGFR mutation

Yong TANG 1 ; Guibin QIAO

Affiliations

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Keywords

non-small cell lung cancer (NSCLC); epidermal growth factor receptor (EGFR); therapy; advances

Country

China

Language

Chinese

Abstract

The incidence of non-small cell lung cancer (NSCLC) is the highest among malignant tumors. StagesⅡtoⅢA patients are potentially treatable. Perioperative chemotherapy is the standard treatment for NSCLC; however, in patients with the EGFR mutation, neoadjuvant or adjuvant targeted therapy can improve disease-free survival (DFS). Despite this, the survival benefit is not clear. Postop-erative adjuvant radiotherapy can enhance survival in patients with stageⅢA (N2) NSCLC. Durvalumab maintenance therapy, after concurrent chemoradiotherapy, has become the new standard for patients with locally advanced and unresectable NSCLC. Immuno-therapy requires additional investigation in patients with driver gene mutations, as does the combination of immunotherapy plus che-motherapy. Notably, anti-angiogenesis therapy has failed as a postoperative adjuvant therapy.