Department of Radiation Oncology, City of Hope National Medical Center, 1500 East Duarte Road, Duarte, CA, USA.
Department of Medical Oncology, City of Hope National Medical Center, 1500 East Duarte Road, Duarte, CA, USA.
Surg Oncol Clin N Am. 2023 Jul;32(3):497-514. doi: 10.1016/j.soc.2023.02.004. Epub 2023 Apr 4.
Oligoprogressive disease (OPD) is an emerging concept that describes patients who have progression of disease in a limited number of metastatic sites while on systemic therapy. Growing evidence has suggested the integration of local ablative therapy with systemic agents in patients with OPD further improves survival. In oligoprogressive non-small cell lung cancer, stereotactic body radiotherapy may have an important role in the effective local control of selective progressing metastases, which may translate to better patient outcomes. This review explores the treatment paradigm of this subset of patients and provides an update on the current existing literature on this topic.
寡进展性疾病(OPD)是一个新兴概念,描述了在系统性治疗期间,患者在少数转移部位出现疾病进展的情况。越来越多的证据表明,在 OPD 患者中,将局部消融治疗与全身药物联合应用,进一步提高了生存率。在寡进展性非小细胞肺癌中,立体定向体部放疗可能在选择性进展转移灶的有效局部控制中发挥重要作用,从而改善患者的预后。本文探讨了这部分患者的治疗模式,并就该主题的现有文献进行了更新。