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Definitive local therapy for extracranial single-organ oligorecurrent non-small-cell lung cancer: A single institutional retrospective study
Jin, Jia Nan1; Yue, Peng1,2; Hao, Yue3; Wu, Shi Yan4; Dong, Bai Qiang5; Wu, Qing3; Song, Zheng Bo1; Chen, Ming5
2022-11-18
Source PublicationMedicine (United States)
ISSN0025-7974
Volume101Issue:46
Abstract

Oligometastatic non-small-cell lung cancer (NSCLC) is potentially curable. Oligo-recurrence occurs with oligometastatic disease characterized by well-controlled primary lesion. The purpose of the present study was to explore the value of definitive local therapy (DLT) for extracranial single-organ oligorecurrent NSCLC. A total of 81 patients with NSCLC who had extracranial single-organ oligorecurrence after receiving radical treatment at the Cancer Hospital of the University of Chinese Academy of Sciences from January 2010 to December 2017 were analyzed. The primary endpoint was progression-free survival (PFS), and the secondary endpoint was overall survival (OS). The median follow-up time of the 81 patients was 65.8 months. A total of 39 patients received DLT. A large proportion of patients who did not accept DLTs received specific tyrosine kinase inhibitors (TKIs). The results of multivariate analysis showed that DLT and specific TKI therapy were favorable prognostic factors significantly related to PFS. Further analysis showed that for patients without specific TKI therapy, DLT significantly improved PFS and the 5-year PFS rate. The 5-year OS rate also improved, but the improvement was not significant. For extracranial single-organ oligorecurrent NSCLC, PFS was significantly superior in patients receiving DLT. Among them, for the subgroup of patients who did not receive specific TKI therapy, DLT is expected to improve long-term prognostic outcomes.

KeywordNon-small-cell Lung Cancer Radiotherapy Recurrence Surgery
DOI10.1097/MD.0000000000031918
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaGeneral & Internal Medicine
WOS SubjectMedicine, General & Internal
WOS IDWOS:000890207100067
Scopus ID2-s2.0-85142402157
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Document TypeJournal article
CollectionUniversity of Macau
Affiliation1.Phase I Clinical Trial Ward, Cancer Hospital, University of Chinese Academy of Sciences, Zhejiang Cancer Hospital, Institute of Cancer and Basic Medicine, Chinese Academy of Sciences, Hangzhou, China
2.Dr.Neher's Biophysics Laboratory for Innovative Drug Discovery, State Key Laboratory of Quality Research in Chinese Medicine, Macau University of Science and Technology, Macao
3.Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, China
4.Hangzhou Cancer Hospital, Zhejiang University, School of Medicine, Hangzhou, China
5.Department of Radiation Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China
Recommended Citation
GB/T 7714
Jin, Jia Nan,Yue, Peng,Hao, Yue,et al. Definitive local therapy for extracranial single-organ oligorecurrent non-small-cell lung cancer: A single institutional retrospective study[J]. Medicine (United States), 2022, 101(46).
APA Jin, Jia Nan., Yue, Peng., Hao, Yue., Wu, Shi Yan., Dong, Bai Qiang., Wu, Qing., Song, Zheng Bo., & Chen, Ming (2022). Definitive local therapy for extracranial single-organ oligorecurrent non-small-cell lung cancer: A single institutional retrospective study. Medicine (United States), 101(46).
MLA Jin, Jia Nan,et al."Definitive local therapy for extracranial single-organ oligorecurrent non-small-cell lung cancer: A single institutional retrospective study".Medicine (United States) 101.46(2022).
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