Adjuvant chemotherapy after pulmonary resection for lung cancer

Thorac Surg Clin. 2013 Aug;23(3):401-10. doi: 10.1016/j.thorsurg.2013.04.005. Epub 2013 Jun 4.

Abstract

Adjuvant chemotherapy using a cisplatin-based regimen is currently recommended for patients with stage II and III non-small cell lung cancer (NSCLC) after complete tumor resection and may be considered for patients with stage IB NSCLC. Although adjuvant chemotherapy after complete resection of localized NSCLC is associated with an absolute survival advantage of approximately 5% at 5 years, there is still a relatively high risk of relapse even for early-stage NSCLC. Efforts are ongoing to identify new treatments in the adjuvant setting and to select patients for individualized treatment based on biomarkers.

Keywords: Adjuvant; Biomarkers; Chemotherapy; Non–small cell lung cancer; Targeted therapy.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / administration & dosage
  • Biomarkers / analysis
  • Biomarkers / metabolism
  • Carcinoma, Non-Small-Cell Lung / drug therapy*
  • Carcinoma, Non-Small-Cell Lung / genetics
  • Carcinoma, Non-Small-Cell Lung / metabolism
  • Carcinoma, Non-Small-Cell Lung / pathology
  • Carcinoma, Non-Small-Cell Lung / surgery
  • Chemotherapy, Adjuvant
  • Cisplatin / administration & dosage
  • Humans
  • Lung Neoplasms / drug therapy*
  • Lung Neoplasms / genetics
  • Lung Neoplasms / metabolism
  • Lung Neoplasms / pathology
  • Lung Neoplasms / surgery
  • Neoplasm Recurrence, Local / drug therapy
  • Patient Selection
  • Pneumonectomy

Substances

  • Antineoplastic Agents
  • Biomarkers
  • Cisplatin