Surgery for Locally Advanced and Oligometastatic Non-Small Cell Lung Cancer

Surg Oncol Clin N Am. 2020 Oct;29(4):543-554. doi: 10.1016/j.soc.2020.07.001.

Abstract

Locally advanced non-small cell lung cancer is a heterogeneous group of tumors that require multidisciplinary treatment. Although there is much debate with regard to their management, a multimodal treatment strategy for carefully selected patients that includes surgery can extend survival compared with nonoperative definitive therapy. As the role of targeted therapies and immune checkpoint inhibitors for these tumors becomes better defined, practices will continue to evolve.

Keywords: Chest wall invasion; Definitive chemoradiation; Locally advanced non–small cell lung cancer; Non–small cell lung carcinoma; Oligometastatic lung cancer; Salvage surgery; Stage IIIA N2; Superior sulcus tumors.

Publication types

  • Review

MeSH terms

  • Carcinoma, Non-Small-Cell Lung / secondary
  • Carcinoma, Non-Small-Cell Lung / surgery*
  • Humans
  • Lung Neoplasms / pathology
  • Lung Neoplasms / surgery*
  • Metastasectomy / methods*
  • Pneumonectomy / methods*