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EGFR-TKIs plus local therapy demonstrated survival benefit than EGFR-TKIs alone in EGFR-mutant NSCLC patients with oligometastatic or oligoprogressive liver metastases

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单位: [1]Tongji Univ, Sch Med, Shanghai Pulm Hosp, Dept Med Oncol, 507 Zheng Min Rd, Shanghai 200433, Peoples R China [2]Tongji Univ, Sch Med, Thorac Canc Inst, 507 Zheng Min Rd, Shanghai 200433, Peoples R China [3]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Oncol, Wuhan, Hubei, Peoples R China [4]Zhengzhou Univ, Henan Canc Hosp, Affiliated Canc Hosp, Dept Internal Med, Zhengzhou, Henan, Peoples R China [5]Soochow Univ, Affiliated Hosp 3, Dept Oncol, Suzhou, Peoples R China [6]Tongji Univ, Sch Med, Shanghai Pulm Hosp, Dept Lung Canc & Immunol, Shanghai, Peoples R China [7]Tongji Univ, Sch Med, Shanghai Pulm Hosp, Dept Radiat Oncol, Shanghai, Peoples R China [8]Univ Colorado, Canc Ctr, Med & Pathol, Anschutz Med Campus, Aurora, CO USA
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关键词: lung cancer liver metastases local therapy EGFR mutation

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To investigate whether addition of local therapy to EGFR-TKIs could provide survival benefit than EGFR-TKIs alone in EGFR-mutant NSCLC patients with oligometastatic or oligoprogressive liver metastases (LM). Patients with EGFR-mutant NSCLC and oligometastatic or oligoprogressive LM who met inclusion criteria were retrospectively identified. The primary endpoint was progression-free survival (PFS); secondary endpoints included overall survival (OS) and patterns of failure. Addition of local therapy was associated with a significantly longer PFS (13.8 vs. 8.6 m, p <0.001) and OS (31.2 vs. 18.5 m, p <0.001) in whole group. In oligometastatic cohort, 20 patients received EGFR-TKIs and 23 received EGFR-TKIs plus local therapy as first-line treatment. Addition of local therapy showed a significantly longer PFS (12.9 vs. 7.9 m, p = 0.041) and OS (36.8 vs. 21.3 m, p = 0.034) than EGFR-TKIs alone. In oligoprogressive cohort, 24 patients received continuation of EGFR-TKIs plus local therapy and 25 received switching chemotherapy. Median PFS2 (13.9 vs. 9.2 m, p = 0.007) and OS (28.3 vs. 17.1 m, p = 0.011) was significantly longer in combined group than in switching chemotherapy group. Distant metastatic sites progression was the major pattern of failure in combined group while locoregional recurrence was the major reason in monotherapy or switching chemotherapy group. Our study suggested that EGFR-TKIs plus local therapy showed prolonged survival benefit than EGFR-TKIs alone in EGFR-mutant NSCLC patients with oligometastatic or oligoprogressive LM, indicating addition of local therapy would be alternative choice in this clinical scenario.

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出版当年[2018]版:
大类 | 1 区 医学
小类 | 2 区 肿瘤学
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 肿瘤学
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出版当年[2017]版:
Q1 ONCOLOGY
最新[2023]版:
Q1 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

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第一作者单位: [1]Tongji Univ, Sch Med, Shanghai Pulm Hosp, Dept Med Oncol, 507 Zheng Min Rd, Shanghai 200433, Peoples R China [2]Tongji Univ, Sch Med, Thorac Canc Inst, 507 Zheng Min Rd, Shanghai 200433, Peoples R China
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通讯机构: [1]Tongji Univ, Sch Med, Shanghai Pulm Hosp, Dept Med Oncol, 507 Zheng Min Rd, Shanghai 200433, Peoples R China [2]Tongji Univ, Sch Med, Thorac Canc Inst, 507 Zheng Min Rd, Shanghai 200433, Peoples R China
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