دورية أكاديمية

Triple-induction treatment for locally advanced non-small cell lung cancer: a case report of pathological complete response.

التفاصيل البيبلوغرافية
العنوان: Triple-induction treatment for locally advanced non-small cell lung cancer: a case report of pathological complete response.
المؤلفون: Werner RS; Department of Thoracic Surgery, University Hospital Zurich, Rämistrasse 100, Zurich, 8091, Switzerland.; Department of Oncology, Regional Hospital Uster, Brunnenstrasse 42, Uster, 8610, Switzerland., Lauk O; Department of Thoracic Surgery, University Hospital Zurich, Rämistrasse 100, Zurich, 8091, Switzerland.; Department of Oncology, Regional Hospital Uster, Brunnenstrasse 42, Uster, 8610, Switzerland., Tscherry G; Department of Medical Oncology and Hematology, University Hospital Zurich, Rämistrasse 100, Zurich, 8091, Switzerland., Curioni-Fontecedro A; Department of Medical Oncology and Hematology, University Hospital Zurich, Rämistrasse 100, Zurich, 8091, Switzerland.; Present address: Clinic of Oncology, Cantonal Hospital Fribourg, Fribourg, 1752, Switzerland.; Faculty of Science and Medicine, University of Fribourg, Fribourg, Switzerland., Höller S; Department of Pathology, University Hospital Zurich, Rämistrasse 100, Zurich, 8091, Switzerland.; Present address: Institute of Clinical Pathology, Stadtspital Zurich, Birmensdorferstrasse 497, Zurich, 8063, Switzerland., Opitz I; Department of Thoracic Surgery, University Hospital Zurich, Rämistrasse 100, Zurich, 8091, Switzerland. Isabelle.schmitt-opitz@usz.ch.; Department of Oncology, Regional Hospital Uster, Brunnenstrasse 42, Uster, 8610, Switzerland. Isabelle.schmitt-opitz@usz.ch.
المصدر: Journal of cardiothoracic surgery [J Cardiothorac Surg] 2024 Apr 15; Vol. 19 (1), pp. 207. Date of Electronic Publication: 2024 Apr 15.
نوع المنشور: Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101265113 Publication Model: Electronic Cited Medium: Internet ISSN: 1749-8090 (Electronic) Linking ISSN: 17498090 NLM ISO Abbreviation: J Cardiothorac Surg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BioMed Central, 2006-
مواضيع طبية MeSH: Carcinoma, Non-Small-Cell Lung*/therapy , Lung Neoplasms*/therapy, Humans ; Middle Aged ; Neoadjuvant Therapy ; Chemoradiotherapy ; Pathologic Complete Response
مستخلص: Background: In patients with resectable stage III non-small cell lung cancer (NSCLC), induction chemoimmunotherapy followed by surgical resection has shown unprecedented rates of pathological response and event-free survival. However, a triple-induction including radiochemotherapy and immunotherapy followed by surgical resection has not been routinely established in clinical practice.
Case Presentation: We report the case of a 47-year-old patient with stage IIIA NSCLC who was treated in a combined concept including induction concurrent radiochemotherapy, followed by 4 cycles of pembrolizumab and subsequent intrapericardial left-sided pneumonectomy. Histological analysis revealed a pathological complete response.
Conclusions: The case demonstrates that the combination of neoadjuvant chemo-, radio- and immunotherapy in advanced NSCLC may lead to a relevant down-staging and may enable a R0-resection of a borderline resectable tumor. However, the combination of four different treatment modalities requires resilience and a good performance status. A triple induction treatment may be a promising option for selected patients with locally advanced NSCLC and good performance status.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Advanced lung cancer; Case report; Multimodality treatment; Pathological complete response; Pneumonectomy
تواريخ الأحداث: Date Created: 20240414 Date Completed: 20240416 Latest Revision: 20240417
رمز التحديث: 20240417
مُعرف محوري في PubMed: PMC11017483
DOI: 10.1186/s13019-024-02759-y
PMID: 38616248
قاعدة البيانات: MEDLINE
الوصف
تدمد:1749-8090
DOI:10.1186/s13019-024-02759-y