دورية أكاديمية

Neoadjuvant immunotherapy combined with chemotherapy in the treatment of stage III lung squamous cell carcinoma: a retrospective cohort study.

التفاصيل البيبلوغرافية
العنوان: Neoadjuvant immunotherapy combined with chemotherapy in the treatment of stage III lung squamous cell carcinoma: a retrospective cohort study.
المؤلفون: Guo J; Department of Thoracic Surgery, The First Affiliated Hospital of Ningbo University, Ningbo, China., Lin SD; Department of Thoracic Surgery, The First Affiliated Hospital of Ningbo University, Ningbo, China., Minervini F; Department of Thoracic Surgery, Cantonal Hospital Lucerne, Lucerne, Switzerland., Geraci TC; Division of Thoracic Surgery, Department of Cardiothoracic Surgery, New York University Langone Health, New York, NY, USA., Kim JJ; Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea, College of Medicine, Seoul, Republic of Korea., Tong CY; Department of Thoracic Surgery, The First Affiliated Hospital of Ningbo University, Ningbo, China., Li XJ; Department of Thoracic Surgery, The First Affiliated Hospital of Ningbo University, Ningbo, China., Cao C; Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Ningbo University, Ningbo, China.
المصدر: Journal of thoracic disease [J Thorac Dis] 2023 Oct 31; Vol. 15 (10), pp. 5658-5668. Date of Electronic Publication: 2023 Sep 12.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: AME Publishing Company Country of Publication: China NLM ID: 101533916 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2072-1439 (Print) Linking ISSN: 20721439 NLM ISO Abbreviation: J Thorac Dis Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: Hong Kong : AME Publishing Company
Original Publication: Hong Kong : Pioneer Bioscience Pub. Co.
مستخلص: Background: Neoadjuvant immunochemotherapy has been proven to be a successful therapeutic strategy for patients with locally advanced non-small cell lung cancer (NSCLC). Nevertheless, there is a paucity of information regarding surgical feasibility and safety as well as tumor response. The present study aimed to investigate the therapeutic and surgical outcomes for patients with stage III lung squamous cell carcinoma (LSCC).
Methods: Patients with stage III potentially resectable LSCC treated with neoadjuvant immunochemotherapy at The First Affiliated Hospital of Ningbo University between March 2020 and June 2022 were retrospectively included. Oncologic outcomes and intraoperative and postoperative variables were assessed.
Results: A total of 17 locally advanced LSCC patients were included in the study. Patients in stages IIIA and IIIB were represented by 10 (58.8%) and 7 (41.2%) cases, respectively. A minimally invasive procedure was successfully completed in 12 out of 17 cases (70.6%). A total of 10 patients (58.8%) had standard lobectomies performed, 1 (5.9%) had a bilobectomy, 3 (17.6%) had pneumonectomies, and 1 (5.9%) had a wedge resection. A total of 7 patients (41.2%) experienced postoperative complications, and there were no 30- or 90-day mortalities. The 2-year disease-free survival (DFS) and overall survival (OS) rates were 76.6% and 82.5%, respectively. The rate of major pathological response (MPR) was 70.6%.
Conclusions: Lung resection after immunochemotherapy for potentially resectable stage III LSCC is feasible and safe. This treatment strategy results in a significant pathologic response and promising rates of OS at 2 years.
Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://jtd.amegroups.com/article/view/10.21037/jtd-23-1175/coif). The authors have no conflicts of interest to declare.
(2023 Journal of Thoracic Disease. All rights reserved.)
References: Thorac Cancer. 2021 Dec;12(24):3433-3436. (PMID: 34761878)
N Engl J Med. 2018 May 24;378(21):1976-1986. (PMID: 29658848)
J Thorac Cardiovasc Surg. 2003 Feb;125(2):254-60. (PMID: 12579093)
BMJ. 2007 Oct 20;335(7624):806-8. (PMID: 17947786)
J Thorac Oncol. 2012 May;7(5):825-32. (PMID: 22481232)
Mayo Clin Proc. 2008 May;83(5):584-94. (PMID: 18452692)
J Clin Oncol. 2002 Jan 1;20(1):247-53. (PMID: 11773176)
N Engl J Med. 2022 May 26;386(21):1973-1985. (PMID: 35403841)
Lancet Oncol. 2020 Jun;21(6):786-795. (PMID: 32386568)
J Clin Oncol. 2022 Sep 1;40(25):2924-2933. (PMID: 35576508)
Ann Thorac Surg. 2015 Jan;99(1):368-76. (PMID: 25555970)
NPJ Precis Oncol. 2020 Dec 1;4(1):32. (PMID: 33299121)
Cancers (Basel). 2022 Nov 15;14(22):. (PMID: 36428702)
J Clin Oncol. 2020 Jan 20;38(3):214-222. (PMID: 31765263)
Cancer Immunol Immunother. 2021 Aug;70(8):2313-2321. (PMID: 33512555)
N Engl J Med. 1994 Jan 20;330(3):153-8. (PMID: 8043059)
Chest. 2001 Nov;120(5):1584-91. (PMID: 11713138)
J Hematol Oncol. 2022 May 18;15(1):62. (PMID: 35585646)
N Engl J Med. 2018 Nov 22;379(21):2040-2051. (PMID: 30280635)
Chest. 2017 Jan;151(1):193-203. (PMID: 27780786)
Lancet Oncol. 2014 Jan;15(1):e42-50. (PMID: 24384493)
Lancet Oncol. 2020 Nov;21(11):1413-1422. (PMID: 32979984)
Nat Commun. 2020 May 8;11(1):2285. (PMID: 32385277)
JCI Insight. 2019 Mar 21;4(6):. (PMID: 30895946)
Nat Med. 2021 Mar;27(3):504-514. (PMID: 33603241)
Lancet. 2014 May 3;383(9928):1561-71. (PMID: 24576776)
J Natl Compr Canc Netw. 2022 May;20(5):497-530. (PMID: 35545176)
J Clin Oncol. 2022 Feb 20;40(6):635-641. (PMID: 34985915)
Actas Dermosifiliogr (Engl Ed). 2021 Jan;112(1):90-92. (PMID: 32891586)
J Thorac Cardiovasc Surg. 2019 Jul;158(1):269-276. (PMID: 30718052)
N Engl J Med. 2018 May 31;378(22):2078-2092. (PMID: 29658856)
N Engl J Med. 2015 Jul 9;373(2):123-35. (PMID: 26028407)
J Thorac Oncol. 2020 May;15(5):709-740. (PMID: 32004713)
JAMA Oncol. 2021 May 01;7(5):709-717. (PMID: 33792623)
Lung Cancer. 2022 Mar;165:115-123. (PMID: 35123154)
فهرسة مساهمة: Keywords: Non-small cell lung cancer (NSCLC); immunochemotherapy; lung squamous cell carcinoma (LSCC); neoadjuvant therapy; survival
تواريخ الأحداث: Date Created: 20231116 Latest Revision: 20231117
رمز التحديث: 20231117
مُعرف محوري في PubMed: PMC10636463
DOI: 10.21037/jtd-23-1175
PMID: 37969291
قاعدة البيانات: MEDLINE
الوصف
تدمد:2072-1439
DOI:10.21037/jtd-23-1175