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Brain metastases from non-small cell lung carcinoma: Changing concepts for improving patients' outcome

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机构: [a]Department of Radiotherapy, Lucien Neuwirth Cancer Institute, 108 bis, Avenue Albert Raimond, BP 60008, 42271 Saint-Priest en Jarez, France [b]Laboratoire de Radiobiologie Cellulaire et Moléculaire, CNRS UMR 5822, Institut de Physique Nucléaire de Lyon, IPNL, 69622 Villeurbanne, France [c]Department of Radiotherapy, Sichuan Cancer Hospital, 55 Renmin Nan Lu, Sect 4. Wuhou District, Chengdu, 610041, China [d]Department of Radiotherapy, Institut Gustave Roussy, 114, Rue Edouard Vaillant, 94805 Villejuif, France [e]Institut de Recherche Biomédicale des Armées, D19, 91220 Brétigny sur Orge, France [f]French Military Health Services Academy, Ecole du Val-de-Grâce, Paris, France
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关键词: Brain metastases Surgery Whole brain radiation therapy Stereotactic radiotherapy Targeted therapy agents

摘要:
The management of Non Small Cell Lung Cancer (NSCLC) brain metastases is challenging, as this frequent complication negatively impacts patients' quality of life, and can be a life-threatening event. Through a review of the literature, we discuss the main therapeutic options and the recent developments that improved (and complicated) the management of NSCLC brain metastases patients. Most current validated approaches are local with exclusive or combined surgery, whole brain radiotherapy (WBRT) and stereotactic radiotherapy (SRT). At the same time, there is a growing role for systemic treatments that might significantly postpone WBRT. Targeted therapies efficacy/toxicity profile remains to be defined but predictive and prognostic molecular factors integration could help to select treatments fully adapted to life expectancy and progression risk. (C) 2017 Elsevier B.V. All rights reserved.

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出版当年[2017]版
大类 | 2 区 医学
小类 | 2 区 血液学 2 区 肿瘤学
最新[2023]版
大类 | 2 区 医学
小类 | 2 区 血液学 2 区 肿瘤学
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出版当年[2017]版:
Q1 HEMATOLOGY Q2 ONCOLOGY
最新[2023]版:
Q1 HEMATOLOGY Q1 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

第一作者:
第一作者机构: [a]Department of Radiotherapy, Lucien Neuwirth Cancer Institute, 108 bis, Avenue Albert Raimond, BP 60008, 42271 Saint-Priest en Jarez, France
通讯作者:
通讯机构: [a]Department of Radiotherapy, Lucien Neuwirth Cancer Institute, 108 bis, Avenue Albert Raimond, BP 60008, 42271 Saint-Priest en Jarez, France [b]Laboratoire de Radiobiologie Cellulaire et Moléculaire, CNRS UMR 5822, Institut de Physique Nucléaire de Lyon, IPNL, 69622 Villeurbanne, France [*1]Lucien Neuwrith Cancer Institute, 108 bis, AvenueAlbert Raimond, BP 60008, 42270 Saint-Priest en Jarez cedex, France.
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