Clark James M, Heifetz Laurence J, Palmer Daphne, Brown Lisa M, Cooke David T, David Elizabeth A
Section of General Thoracic Surgery, Department of Surgery, UC Davis Medical Center, 2315 Stockton Blvd, Sacramento, CA 95817, USA.
Department of Medical Oncology, Tahoe Forest Cancer Center, 10121 Pine Ave, Truckee, CA 96161, USA.
Cancer Treat Res Commun. 2016;9:139-142. doi: 10.1016/j.ctarc.2016.09.005.
Oligometastatic non-small cell lung cancer (NSCLC) has a poor prognosis for rural patients with traditional therapies. Implementation of multi-modality systemic therapy in conjunction with surgical resection can dramatically improve overall survival, leading to clinical complete remission. The currently accepted indications for resection in oligometastatic NSCLC include brain and adrenal metastases. Rural populations are known to have disparities in care of complex malignancies and the use of telehealth has been shown to improve outcomes. We present a case of a rural patient with stage IV NSCLC, who was able to participate in two clinical trials, undergo trimodality therapy, and remain disease-free for 18 months, whose care was facilitated via telehealth video conferencing with a tertiary care center.
寡转移非小细胞肺癌（NSCLC）对于接受传统疗法的农村患者预后较差。多模式全身治疗联合手术切除可显著提高总生存率，实现临床完全缓解。目前公认的寡转移NSCLC手术切除指征包括脑转移和肾上腺转移。众所周知，农村人口在复杂恶性肿瘤治疗方面存在差异，而远程医疗已被证明可改善治疗效果。我们报告一例IV期NSCLC农村患者的病例，该患者能够参与两项临床试验，接受三联疗法，并在18个月内保持无病状态，其治疗通过与三级医疗中心进行远程医疗视频会议得以顺利进行。
