Evidence for surgical resections in oligometastatic lung cancer

With the advent of advanced technology in performing diagnostics for lung cancer, an incremental increase in the number of patients with oligometastatic disease is currently being managed with intent to cure. As treatment of selected types of patients with oligometastasis show favourable outcomes, t...

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Published inJournal of thoracic disease Vol. 11; no. Suppl 7; pp. S969 - S975
Main Authors Fernandez, Rafael A S, Lau, Rainbow W H, Ho, Jacky Y K, Yu, Peter S Y, Chow, Simon C Y, Wan, Innes Y P, Ng, Calvin S H
Format Journal Article
LanguageEnglish
Published China AME Publishing Company 01.04.2019
Subjects
Review
metastases
Lung cancer
oligometastases
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Summary:With the advent of advanced technology in performing diagnostics for lung cancer, an incremental increase in the number of patients with oligometastatic disease is currently being managed with intent to cure. As treatment of selected types of patients with oligometastasis show favourable outcomes, the past notion of managing these patients palliatively is fast becoming extinct. Selection of patients based on established criterion together with surgical metastasectomy combined with multiple ablative techniques with or without systemic chemotherapy offers a reasonable rate of treatment success which provides basis for treating such patient population. As more evidence becomes available to suggest that the oligometastatic state of lung cancer does exist, and are potentially curable, a better understanding of the condition is necessary for clinicians, and surgeons to provide optimal care. In this review we present some of the clinical basis which may cause a paradigm shift in management of patients with oligometastatic lung disease.
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Contributions: (I) Conception and design: All authors; (II) Administrative support: CS Ng, RA Fernandez; (III) Provision of study materials or patients: CS Ng, RW Lau, RA Fernandez; (IV) Collection and assembly of data: RA Fernandez, CS Ng; (V) Data analysis and interpretation: All authors; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors.
ISSN:2072-1439
2077-6624
DOI:10.21037/jtd.2019.04.09