作者
Georgios Tsakonas, Simon Ekman, Andreas Koulouris, Helen Adderley, Christoph Jakob Ackermann, Raffaele Califano
发表日期
2023/11/1
来源
International Journal of Cancer
卷号
153
期号
9
页码范围
1556-1567
出版商
John Wiley & Sons, Inc.
简介
The presence of brain metastases (BM) is a negative prognostic factor for patients with advanced nonsmall cell lung cancer (NSCLC). Their incidence seems to be higher in patients with oncogene‐driven tumours, especially those with EGFR‐mutated or ALK‐rearranged tumours. Although targeted treatments demonstrate significant efficacy regarding BM, they only apply to a minority of NSCLC patients. On the other hand, systemic therapies for nononcogenic‐driven NSCLC with BM have shown limited clinical benefit. In recent years, immunotherapy alone or combined with chemotherapy has been adopted as a new standard of care in first‐line therapy. This approach seems to be beneficial to patients with BM in terms of efficacy and toxicity. Combined immune checkpoint inhibition as well as the combination of immunotherapy and radiation therapy show promising results with significant, but overall acceptable …
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