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英国目前对 III 期非小细胞肺癌的治疗现状。

The current treatment landscape in the UK for stage III NSCLC.

机构信息

North West Lung Centre Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.

出版信息

Br J Cancer. 2020 Dec;123(Suppl 1):3-9. doi: 10.1038/s41416-020-01069-z.

Abstract

For stage III non-small cell lung cancer (NSCLC), approximately a third of patients survive up to 5 years, with decreasing 5-year survival rates for stage IIIB and stage IIIC disease. Although curable, stage III NSCLC encompasses a diverse range of disease presentation, with an equally complex range of multi-modal treatment options, including systemic and local therapies for distant and local disease control, respectively. This complexity results in a number of challenges for the multi-disciplinary team (MDT) in achieving optimal treatment outcomes for patients. As multi-modality treatment is the preferred treatment strategy for all stage III disease, the focus of this article is the key surgical, chemotherapy and radiotherapy clinical trials as well as guidelines that currently outline radical therapy options for patients with both potentially resectable and unresectable stage III NSCLC.

摘要

对于 III 期非小细胞肺癌(NSCLC),约有三分之一的患者可存活长达 5 年,而 IIIB 期和 IIIC 期疾病的 5 年生存率则逐渐下降。尽管 III 期 NSCLC 可以治愈,但它包含了广泛的疾病表现,同时也有多种复杂的多模式治疗选择,包括针对远处和局部疾病控制的全身和局部治疗。这种复杂性给多学科团队(MDT)在为患者实现最佳治疗效果方面带来了许多挑战。由于多模式治疗是所有 III 期疾病的首选治疗策略,因此本文的重点是关键的手术、化疗和放疗临床试验以及指南,这些指南目前为有潜在可切除和不可切除 III 期 NSCLC 的患者概述了根治性治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0167/7735211/4269ef79c1fc/41416_2020_1069_Fig1_HTML.jpg

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