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
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.
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