Advances in adjuvant therapy for operable N2 non-small cell lung cancer: a narrative review

Non-small cell lung cancer (NSCLC) is still the disease with the highest incidence rate among malignant tumors, in which NSCLC under N2 stage has obvious survival differences among different patients due to its high heterogeneity. For NSCLC under this stage, the current treatment options are: preope...

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Main Authors: Lei Liu, Yilong Mao, Leilei Guo, Chencong Li, Yiqian Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2024.1523743/full
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author Lei Liu
Yilong Mao
Leilei Guo
Chencong Li
Yiqian Wang
author_facet Lei Liu
Yilong Mao
Leilei Guo
Chencong Li
Yiqian Wang
author_sort Lei Liu
collection DOAJ
description Non-small cell lung cancer (NSCLC) is still the disease with the highest incidence rate among malignant tumors, in which NSCLC under N2 stage has obvious survival differences among different patients due to its high heterogeneity. For NSCLC under this stage, the current treatment options are: preoperative neoadjuvant therapy, surgical treatment, postoperative adjuvant chemotherapy, postoperative adjuvant radiotherapy (PORT), Postoperative adjuvant targeted therapy and postoperative adjuvant immunotherapy. Whether postoperative adjuvant radiotherapy is routinely administered to patients with pN2 remains controversial in clinical application. Meanwhile, the booming development of adjuvant targeted therapy and adjuvant immunotherapy also provides newer therapeutic options for the prognosis of postoperative pN2 stage NSCLC, and some new markers will guide the adaptive application of immune drugs in the future. This article analyzes the current stage of therapeutic advances in operable stage N2 non-small cell lung cancer, and discusses in detail in this article the therapeutic controversy of postoperative adjuvant radiotherapy in pN2 stage non-small cell lung cancer, so as to explore a more reasonable treatment mode for future patients with stage N2 non-small cell lung cancer.
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institution Kabale University
issn 2234-943X
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publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Oncology
spelling doaj-art-f45d3c89a68b4250aece5db31c67d4d42025-01-21T08:36:29ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-01-011410.3389/fonc.2024.15237431523743Advances in adjuvant therapy for operable N2 non-small cell lung cancer: a narrative reviewLei LiuYilong MaoLeilei GuoChencong LiYiqian WangNon-small cell lung cancer (NSCLC) is still the disease with the highest incidence rate among malignant tumors, in which NSCLC under N2 stage has obvious survival differences among different patients due to its high heterogeneity. For NSCLC under this stage, the current treatment options are: preoperative neoadjuvant therapy, surgical treatment, postoperative adjuvant chemotherapy, postoperative adjuvant radiotherapy (PORT), Postoperative adjuvant targeted therapy and postoperative adjuvant immunotherapy. Whether postoperative adjuvant radiotherapy is routinely administered to patients with pN2 remains controversial in clinical application. Meanwhile, the booming development of adjuvant targeted therapy and adjuvant immunotherapy also provides newer therapeutic options for the prognosis of postoperative pN2 stage NSCLC, and some new markers will guide the adaptive application of immune drugs in the future. This article analyzes the current stage of therapeutic advances in operable stage N2 non-small cell lung cancer, and discusses in detail in this article the therapeutic controversy of postoperative adjuvant radiotherapy in pN2 stage non-small cell lung cancer, so as to explore a more reasonable treatment mode for future patients with stage N2 non-small cell lung cancer.https://www.frontiersin.org/articles/10.3389/fonc.2024.1523743/fullnon-small cell lung cancerstage N2postoperative radiotherapypostoperative immunotherapypostoperative targeted therapy
spellingShingle Lei Liu
Yilong Mao
Leilei Guo
Chencong Li
Yiqian Wang
Advances in adjuvant therapy for operable N2 non-small cell lung cancer: a narrative review
Frontiers in Oncology
non-small cell lung cancer
stage N2
postoperative radiotherapy
postoperative immunotherapy
postoperative targeted therapy
title Advances in adjuvant therapy for operable N2 non-small cell lung cancer: a narrative review
title_full Advances in adjuvant therapy for operable N2 non-small cell lung cancer: a narrative review
title_fullStr Advances in adjuvant therapy for operable N2 non-small cell lung cancer: a narrative review
title_full_unstemmed Advances in adjuvant therapy for operable N2 non-small cell lung cancer: a narrative review
title_short Advances in adjuvant therapy for operable N2 non-small cell lung cancer: a narrative review
title_sort advances in adjuvant therapy for operable n2 non small cell lung cancer a narrative review
topic non-small cell lung cancer
stage N2
postoperative radiotherapy
postoperative immunotherapy
postoperative targeted therapy
url https://www.frontiersin.org/articles/10.3389/fonc.2024.1523743/full
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AT leileiguo advancesinadjuvanttherapyforoperablen2nonsmallcelllungcanceranarrativereview
AT chencongli advancesinadjuvanttherapyforoperablen2nonsmallcelllungcanceranarrativereview
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