Classification and Treatment of Oligometastatic Disease in Non-Small-Cell Lung Cancer

Kiichiro Ninomiya, Yusuke Okuma, Noriyuki Ebi, Keiju Aokage, Yuko Oya, Tomohiro Sakamoto, Toshiyuki Kozuki, Kaname Nosaki, Katsuyuki Shirai, Tetsuo Nonaka, Miyako Satouchi, Hitoshi Ishikawa, Katsuyuki Hotta, Yuichi Takiguchi

Research output: Contribution to journalReview articlepeer-review

Abstract

The standard treatment for non-small-cell lung cancer (NSCLC) with distant metastases is pharmacotherapy, and the survival benefit of additional localized therapy has not been clarified. However, in cases of oligometastatic disease in which metastatic lesions are limited, a long-term prognosis has been observed with localized therapy. In recent years, several randomized controlled trials have reported the effects of additional localized therapy for oligometastatic disease. These trials have targeted cases of synchronous oligometastatic disease, and all have tended to show the extension of the survival period. Treatment of NSCLC is diversifying due to the advent of novel strategies, such as targeted therapy, immune checkpoint inhibitors, and radiotherapeutic technology. Localized therapy for oligometastatic disease might be a new treatment strategy, although the disadvantages of its invasiveness and the risks associated with discontinuation of pharmacotherapy need to be considered.

Original languageEnglish
Pages (from-to)95-99
Number of pages5
JournalJapanese Journal of Lung Cancer
Volume91
Issue number2
DOIs
Publication statusPublished - 2021
Externally publishedYes

Keywords

  • Non-small cell lung cancer
  • Oligometastatic disease
  • localized therapy

ASJC Scopus subject areas

  • Oncology
  • Pulmonary and Respiratory Medicine

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