2022
DOI: 10.3390/curroncol29030150
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Non-Small-Cell Lung Cancer in 2022: A Review for General Practitioners in Oncology

Abstract: Lung cancer is the leading cause of cancer death in Canada and a significant cause of morbidity for patients and their loved ones. There have been rapid advances in preventing, screening and treating this disease. Here, we present a contemporary review of treatment of non-small cell lung cancer in Canada based on current best practices. The focus of this review is to highlight recent data in screening for lung cancer, management of patients with early and locally-advanced non-small cell lung cancer, as well as… Show more

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Cited by 147 publications
(89 citation statements)
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“…The treatment strategies for lung cancer have expanded in the past decade. However, lung cancer patients with no driver mutations or negative PD-L1 expression lack definite treatment options other than chemotherapy [ 4 ]. The discovery of a new treatable target would benefit lung cancer patients without eligible targeted agents or immunotherapies.…”
Section: Resultsmentioning
confidence: 99%
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“…The treatment strategies for lung cancer have expanded in the past decade. However, lung cancer patients with no driver mutations or negative PD-L1 expression lack definite treatment options other than chemotherapy [ 4 ]. The discovery of a new treatable target would benefit lung cancer patients without eligible targeted agents or immunotherapies.…”
Section: Resultsmentioning
confidence: 99%
“…To cure lung cancer would be a challenging issue for today’s medicine. The treatment strategy for lung cancer includes traditional chemotherapy, radiotherapy and operation [ 3 , 4 ]. The discovery of druggable targets such as epidermal growth factor receptor (EGFR), anaplastic lymphoma receptor tyrosine kinase (ALK), MET, ROS-1receptor tyrosine kinase and Kirsten rat sarcoma viral oncogene homolog (KRAS) open avenues for treating lung cancer [ 4 , 5 ].…”
Section: Introductionmentioning
confidence: 99%
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“…Although the incidence of lung cancer is decreasing in developed countries, it is rising in less developed parts of the world (South America, Africa, China and Eastern Europe) probably due to less rigorous smoking regulations (2). Smoking cessation, in fact, is crucial for preventing lung cancer, and public health actions aimed at quitting smoking have effectively helped to reduce the incidence of lung cancer (3)(4)(5). In addition, after receiving a lung cancer diagnosis, smoking cessation is significantly related to better overall survival, decreased post-operative complications, enhanced response to systemic therapies, better response to radiation therapy and-above all-significantly improved quality of life (6).…”
Section: Rationale/backgroundmentioning
confidence: 99%
“…For NSCLC patients, benefit of postoperative adjuvant platinum drug-based chemotherapy varies from a 3% decrease in the risk of death in high-risk stage IB patients to a 13% increase in benefits for stage IIIA disease, still with a higher risk of metastatic disease relapse. However, the adjuvant radiation therapy is shown to be harmful for NSCLC stage IB and II disease due to increased radiation-induced mortality risk and is less likely to provide modest benefit in stage IIIA [ 14 , 15 ]. Similarly, a combination of chemoradiation for inoperable limited stage SCLC and platinum-based chemotherapy followed by thoracic and cranial irradiation in extensive stage SCLC also suffers from relapse-refractory progression.…”
Section: Introductionmentioning
confidence: 99%