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非小细胞肺癌颅外寡转移疾病的局部热消融治疗

Local thermal ablative therapies for extracranial oligometastatic disease of non-small-cell lung cancer.

作者信息

Kong Yongmei, Xu Hui, Huang Yahan, Wei Zhigang, Ye Xin

机构信息

Department of Oncology, The First Affiliated Hospital of Shandong, First Medical University & Shandong Provincial Qianfoshan Hospital, Shandong Key Laboratory of Rheumatic Disease and Translational Medicine, Shandong Lung Cancer, Institute, Jinan, China.

Shandong First Medical University, Jinan, China.

出版信息

Asia Pac J Clin Oncol. 2023 Feb;19(1):3-8. doi: 10.1111/ajco.13766. Epub 2022 May 22.

Abstract

Non-small cell lung cancer (NSCLC) is the most common type of lung cancer. Clinically, 40-50% of patients with NSCLC are found to have systemic metastasis at the initial diagnosis. Meanwhile, 30-75% of patients with lung cancer who have undergone radical surgical resection have local recurrence and distant metastases. However, not all distant metastases are multiple, and some are potentially curable. In this study, among the patients with NSCLC having distant organ metastasis, approximately 7% showed extrapulmonary solitary metastasis and remained in this relatively stable state for a long time. This form of metastasis is known as NSCLC oligometastases. This review describes the concept and classification of oligometastases, as well as the local treatment and prognosis of extracranial oligometastases.

摘要

非小细胞肺癌(NSCLC)是最常见的肺癌类型。临床上,40%-50%的NSCLC患者在初诊时被发现有全身转移。同时,30%-75%接受根治性手术切除的肺癌患者会出现局部复发和远处转移。然而,并非所有远处转移都是多发的,有些是潜在可治愈的。在本研究中,在有远处器官转移的NSCLC患者中,约7%表现为肺外孤立转移,并在较长时间内保持相对稳定状态。这种转移形式被称为NSCLC寡转移。本综述描述了寡转移的概念和分类,以及颅外寡转移的局部治疗和预后。

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