Treatment strategies for locally advanced non-small cell lung cancer in elderly patients: Translating scientific evidence into clinical practice.

Chemotherapy Comorbidities Concurrent treatment Elderly Immunotherapy Radiotherapy Sequential treatment Stage III lung cancer

Journal

Critical reviews in oncology/hematology
ISSN: 1879-0461
Titre abrégé: Crit Rev Oncol Hematol
Pays: Netherlands
ID NLM: 8916049

Informations de publication

Date de publication:
Jul 2021
Historique:
received: 31 05 2020
revised: 19 02 2021
accepted: 29 05 2021
pubmed: 5 6 2021
medline: 14 7 2021
entrez: 4 6 2021
Statut: ppublish

Résumé

Treatment of locally advanced NSCLC (LA-NSCLC) is focused on multimodal strategy, including chemotherapy and radiotherapy (in combination or as alternative treatments), followed by surgery in selected cases. Recently, durvalumab consolidation after definitive chemo-radiation has shown a meaningful overall survival benefit. However, it is important to note that elderly patients represent a high proportion of NSCLC population and frailty and comorbidities can significantly limit treatment options. Indeed, elderly patients are under-represented in clinical trials and data to drive treatment selection in this category of patients are scanty. Available data, main issues and controversies on multimodal treatment in elderly LA-NSCLC patients will be reviewed in this paper.

Identifiants

pubmed: 34087343
pii: S1040-8428(21)00166-9
doi: 10.1016/j.critrevonc.2021.103378
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

103378

Informations de copyright

Copyright © 2021 Elsevier B.V. All rights reserved.

Auteurs

Laura Bonanno (L)

Medical Oncology 2, Istituto Oncologico Veneto IRCCS, Padova, Italy. Electronic address: laura.bonanno@iov.veneto.it.

Ilaria Attili (I)

Division of Thoracic Oncology, European Institute of Oncology IRCSS, Milan, Italy.

Alberto Pavan (A)

Medical Oncology 2, Istituto Oncologico Veneto IRCCS, Padova, Italy.

Matteo Sepulcri (M)

Radiotherapy, Istituto Oncologico Veneto IOV IRCCS, Padova, Italy.

Giulia Pasello (G)

Medical Oncology 2, Istituto Oncologico Veneto IRCCS, Padova, Italy; Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.

Federico Rea (F)

Thoracic Surgery, Department of Cardiothoracic Surgery and Vascular Sciences, University of Padova, Padova, Italy.

Valentina Guarneri (V)

Medical Oncology 2, Istituto Oncologico Veneto IRCCS, Padova, Italy; Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.

PierFranco Conte (P)

Medical Oncology 2, Istituto Oncologico Veneto IRCCS, Padova, Italy; Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.

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Classifications MeSH