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Two Decades of (Mostly) Disappointments in Definitive Chemoradiation for Stage III Non-Small Cell Lung Cancer

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  • John H Park

    (Kansas City VA Medical Center, USA)

Abstract

The past two decades have little to show in the progress of definitive chemoradiation for stage III lung cancer patients. Radiation dose escalation, elective nodal irradiation, prophylactic cranial irradiation, and proton therapy have not shown to improve outcomes. The addition of surgery to the backbone of concurrent chemoradiation has also shown no benefit, except possibly in patients who can undergo a lobectomy. Consolidative chemotherapy, adjuvant gefitinib, induction chemotherapy, pemetrexed for non-squamous histologies, and the addition of cetuximab have also all failed in terms of systemic therapy. Progress has been made only recently with the addition of adjuvant durvalumab, a PD-L1 inhibitor, which significantly improved outcomes in this population and now is part of the standard of care.

Suggested Citation

  • John H Park, 2018. "Two Decades of (Mostly) Disappointments in Definitive Chemoradiation for Stage III Non-Small Cell Lung Cancer," Cancer Therapy & Oncology International Journal, Juniper Publishers Inc., vol. 9(5), pages 13-16, April.
  • Handle: RePEc:adp:jctoij:v:9:y:2018:i:5:p:13-16
    DOI: 10.19080/CTOIJ.2018.09.555780
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