中国肺癌杂志最新文献

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[Research Progress of Engineered Exosomes in the Treatment of Lung Cancer]. [工程外泌体治疗肺癌的研究进展]。
Chinese Journal of Lung Cancer Pub Date : 2024-07-20 DOI: 10.3779/j.issn.1009-3419.2024.101.17
Wanling Yang, Yan Gu
{"title":"[Research Progress of Engineered Exosomes in the Treatment of Lung Cancer].","authors":"Wanling Yang, Yan Gu","doi":"10.3779/j.issn.1009-3419.2024.101.17","DOIUrl":"10.3779/j.issn.1009-3419.2024.101.17","url":null,"abstract":"<p><p>The best treatment for non-small cell lung cancer is early surgical treatment, but most lung cancer is diagnosed at an advanced stage. The main treatment methods are drug and radiotherapy. However, drug resistance or no signifi cant effect of the above treatment methods is inevitable. Therefore, more methods are urgently needed for the treatment of lung cancer. Studies have confirmed that engineered exosomes have good clinical application potential in cardiovascular diseases, tumors, tissue regeneration and repair. This paper summarizes the application of engineered exosomes in the treatment of lung cancer at home and abroad.\u2029.</p>","PeriodicalId":39317,"journal":{"name":"Chinese Journal of Lung Cancer","volume":"27 7","pages":"535-540"},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11331261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Non-small Cell Lung Cancer with Metachronous Mutations of EGFR and ALK Genes: 
A Case Report and Literature Review]. [表皮生长因子受体(EGFR)和 ALK 基因同步突变的非小细胞肺癌:病例报告和文献综述]。
Chinese Journal of Lung Cancer Pub Date : 2024-07-20 DOI: 10.3779/j.issn.1009-3419.2024.106.15
Xiaoyan Kong, Mingjuan Wang, Qiaoyun Tang, Mengyu Sun, Jianjun Hu
{"title":"[Non-small Cell Lung Cancer with Metachronous Mutations of EGFR and ALK Genes: \u2029A Case Report and Literature Review].","authors":"Xiaoyan Kong, Mingjuan Wang, Qiaoyun Tang, Mengyu Sun, Jianjun Hu","doi":"10.3779/j.issn.1009-3419.2024.106.15","DOIUrl":"10.3779/j.issn.1009-3419.2024.106.15","url":null,"abstract":"<p><p>Multiple primary lung cancer (MPLC) refers to patients with two or more primary lesions of lung cancer. It can be divided into synchronous MPLC (sMPLC) and metachronous MPLC (mMPLC) based on the timing of occurrence. In recent years, the detection rate of MPLC has gradually increased. However, considerable controversy exists in distinguishing MPLC from intrapulmonary metastasis (IM), especially when the histopathological types are identical. Given the significant differences in treatment strategies and prognosis in clinical practice currently, accurate diagnosis of MPLC is crucial for personalized precision therapy. Molecular genetics and sequencing technologies offer effective strategies for assessing the clonal origin of tumors. There have been reports of coexisting mutations in the epidermal growth factor receptor (EGFR) and anaplastic lymphoma kinase (ALK) fusion genes in non-small cell lung cancer, but case of EGFR mutation following an ALK mutation has not been mentioned. This article accurately diagnoses and retrospectively analyzes the clinical data of a case of ALK mutant adenocarcinoma in a male patient who developed an EGFR mutation with multiple metastases four years after surgery, and reviews the relevant literature. This paper aims to deepen the understanding of mMPLC and provide clinical references for the diagnosis and treatment of such patients.\u2029.</p>","PeriodicalId":39317,"journal":{"name":"Chinese Journal of Lung Cancer","volume":"27 7","pages":"559-564"},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11331256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Research Progress on the Role of GSDME-mediated Pyroptosis in the Treatment of 
Lung Cancer]. [关于 GSDME 介导的嗜热症在肺癌治疗中的作用的研究进展]。
中国肺癌杂志 Pub Date : 2024-07-20 DOI: 10.3779/j.issn.1009-3419.2024.106.17
Huan Li, Xudong Tang
{"title":"[Research Progress on the Role of GSDME-mediated Pyroptosis in the Treatment of \u2029Lung Cancer].","authors":"Huan Li, Xudong Tang","doi":"10.3779/j.issn.1009-3419.2024.106.17","DOIUrl":"10.3779/j.issn.1009-3419.2024.106.17","url":null,"abstract":"<p><p>Lung cancer causes a significant threat to human health. Despite considerable advancements in the treatment technologies in recent years, the five-year survival rate for lung cancer patients remains low. In this context, the discovery of pyroptosis, a unique cell death mechanism, offers a novel perspective for exploring new pathways of lung cancer treatment. Particularly, the role of gasdermin E (GSDME) in the process of pyroptosis reveals its tremendous potential in lung cancer therapy. Recent studies have made considerable progress in understanding the role of GSDME-mediated pyroptosis in lung cancer growth, the lung cancer microenvironment, and the effect of GSDME methylation on lung cancer treatment. This paper summarizes these research advancements and analyzes the potential and possible side effects of GSDME-mediated pyroptosis in lung cancer therapy, aiming to provide a theoretical foundation for developing more effective strategies for lung cancer treatment.\u2029.</p>","PeriodicalId":39317,"journal":{"name":"中国肺癌杂志","volume":"27 7","pages":"529-534"},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Erratum: Establishment of Human Lung Adenocarcinoma Radioresistant Cell Lines and the Mechanism of Radioresistance]. [勘误:人肺腺癌放射耐药细胞系的建立及放射耐药机制]。
中国肺癌杂志 Pub Date : 2024-07-20 DOI: 10.3779/j.issn.1009-3419.2024.104.01
{"title":"[Erratum: Establishment of Human Lung Adenocarcinoma Radioresistant Cell Lines and the Mechanism of Radioresistance].","authors":"","doi":"10.3779/j.issn.1009-3419.2024.104.01","DOIUrl":"10.3779/j.issn.1009-3419.2024.104.01","url":null,"abstract":"<p><p>This corrects the article DOI: 10.3779/j.issn.1009-3419.2023.102.08.</p>","PeriodicalId":39317,"journal":{"name":"中国肺癌杂志","volume":"27 7","pages":"784"},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Advancements in Single-cell RNA Sequencing Technology
in the Study of the Tumor Microenvironment in Lung Cancer]. [单细胞 RNA 测序技术在肺癌肿瘤微环境研究中的应用进展]。
Chinese Journal of Lung Cancer Pub Date : 2024-06-20 DOI: 10.3779/j.issn.1009-3419.2024.101.15
Yanhong Wang, Bin Luo, Zhuo Wang, Zujun Que, Lei Jiang, Jianhui Tian
{"title":"[Advancements in Single-cell RNA Sequencing Technology\u2029in the Study of the Tumor Microenvironment in Lung Cancer].","authors":"Yanhong Wang, Bin Luo, Zhuo Wang, Zujun Que, Lei Jiang, Jianhui Tian","doi":"10.3779/j.issn.1009-3419.2024.101.15","DOIUrl":"10.3779/j.issn.1009-3419.2024.101.15","url":null,"abstract":"<p><p>The immune microenvironment plays a key role in the development and progression of tumors. In recent years, with the rapid advancement of high-throughput sequencing technologies, researchers have gained a deeper understanding of the composition and function of immune cells in the tumor microenvironment. However, traditional bulk sequencing technologies are limited in resolving heterogeneity at the single-cell level, constraining a comprehensive understanding of the complexity of the tumor microenvironment. The advent of single-cell RNA sequencing technology has brought new opportunities to uncover the heterogeneity of the immune microenvironment in lung cancer. Currently, T-cell-centered immunotherapy in clinical settings is prone to side effects affecting prognosis, such as immunogenic drug resistance or immune-related pneumonia, with the key factor being changes in the interactions between immune cells and tumor cells in the tumor microenvironment. Single-cell RNA sequencing technology can reveal the origins and functions of different subgroups within the tumor microenvironment from perspectives such as intercellular interactions and pseudotime analysis, thereby discovering new cell subgroups or novel biomarkers, providing new avenues for uncovering resistance to immunotherapy and monitoring therapeutic efficacy. This review comprehensively discusses the newest research techniques and advancements in single-cell RNA sequencing technology for unveiling the heterogeneity of the tumor microenvironment after lung cancer immunotherapy, offering insights for enhancing the precision and personalization of immunotherapy.\u2029.</p>","PeriodicalId":39317,"journal":{"name":"Chinese Journal of Lung Cancer","volume":"27 6","pages":"441-450"},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11258646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Relationship between GTSE1 and Cell Cycle and Potential Regulatory Mechanisms 
in Lung Cancer Cells]. [肺癌细胞中 GTSE1 与细胞周期的关系及潜在调控机制]。
Chinese Journal of Lung Cancer Pub Date : 2024-06-20 DOI: 10.3779/j.issn.1009-3419.2024.106.13
Chuanlin Wang, Jiali Xu, Mingzhu Liu, Jiayu Liu, Yunchao Huang, Lan Zhou
{"title":"[Relationship between GTSE1 and Cell Cycle and Potential Regulatory Mechanisms \u2029in Lung Cancer Cells].","authors":"Chuanlin Wang, Jiali Xu, Mingzhu Liu, Jiayu Liu, Yunchao Huang, Lan Zhou","doi":"10.3779/j.issn.1009-3419.2024.106.13","DOIUrl":"10.3779/j.issn.1009-3419.2024.106.13","url":null,"abstract":"<p><p>The regulation of the cell cycle is essential for maintaining normal cellular function, especially in the development of diseases such as lung cancer. The cell cycle consists of four major phases (G1, S, G2 and M phases), which are characterized by a series of precise molecular events to ensure proper cell proliferation and division. In lung cancer cells, cell cycle dysregulation can lead to disordered proliferation and increased invasiveness of cancer cells. G2 and S-phase expressed 1 (GTSE1) is a regulatory protein found in the cytoplasm of the cell, which plays a key role in the cell cycle distribution of a wide range of cancer cells and is involved in life processes such as cell proliferation and apoptosis. GTSE1 affects cell cycle progression by interacting with cyclin-dependent kinase inhibitor 1A (p21) and maintaining the stability of p21, which in turn inhibits the activity of cyclin-dependent kinase 1/2 (CDK1/2). In addition, GTSE1 is also involved in the regulation of tumor protein 53 (p53) signaling pathway. With the assistance of mouse double minute 2 homolog (MDM2), GTSE1 is able to transport p53 from the nucleus to the cytoplasm and promote its ubiquitination and degradation, thus affecting cell cycle and cell death-related signaling pathways. This paper reviews the expression of GTSE1 in lung cancer cells and its effects on lung cancer, as well as its potential mechanisms involved in cell cycle regulation.\u2029.</p>","PeriodicalId":39317,"journal":{"name":"Chinese Journal of Lung Cancer","volume":"27 6","pages":"451-458"},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11258651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Influence of Postoperative Diet Type and Regimen on Hospital Comfort
and Rehabilitation of Lung Cancer Patients]. [术后饮食种类和方案对肺癌患者住院舒适度和康复的影响]。
Chinese Journal of Lung Cancer Pub Date : 2024-06-20 DOI: 10.3779/j.issn.1009-3419.2024.102.21
Xue Yang, Lingling Zuo, Ziyi Zhao, Li Tu, Qilian Wang, Munai Jiaga, Hongjuan Li, Guowei Che
{"title":"[Influence of Postoperative Diet Type and Regimen on Hospital Comfort\u2029and Rehabilitation of Lung Cancer Patients].","authors":"Xue Yang, Lingling Zuo, Ziyi Zhao, Li Tu, Qilian Wang, Munai Jiaga, Hongjuan Li, Guowei Che","doi":"10.3779/j.issn.1009-3419.2024.102.21","DOIUrl":"10.3779/j.issn.1009-3419.2024.102.21","url":null,"abstract":"<p><strong>Background: </strong>A reasonable and standardized dietary plan and procedure can help patients recovering quickly from lung cancer surgery. The aim of this study is to optimize the diet plan and procedure mainly based on medium chain triglyceride (MCT) diet and explore its clinical advantages for postoperative lung cancer patients.</p><p><strong>Methods: </strong>From October 2023 to December 2023, a total of 156 patients were collected, who underwent lung cancer surgery in Lung Cancer Center, West China Hospital of Sichuan University. The patients were randomized into MCT group (76 cases) and routine diet (RD) group (80 cases). Clinical symptoms, biochemical index, postoperative hospitalization time and cost, dietary satisfaction and hospitalization comfort between the two groups were analyzed.</p><p><strong>Results: </strong>The mean anus exhausting time in MCT group [24.00 (9.75, 36.97) h] was significantly shorter than that in RD group [28.50 (24.00, 48.00) h] (P<0.001). And the incidence of dizziness (18.42%), nausea and vomiting (6.58%) in MCT group were remarkably lower than those in RD group (51.25%, 31.25%) (P<0.001). Hospitalization comfort score in MCT group [(16.74±1.70)] was significantly higher than that in RD group [(14.83±2.34)] (P=0.016). Meanwhile, the average hospitalization cost in MCT group [(39,701.82±8105.47)¥] showed an obvious decrease compared with RD group [(44,511.79±9593.19)¥] (P=0.007).</p><p><strong>Conclusions: </strong>Optimizing the dietary plan and procedure mainly based on MCT diet for postoperative lung cancer patients can help the recovery of gastrointestinal function and improve hospitalization comfort, which promoted overall postoperative rehabilitation of patients with lung cancer surgery.</p>","PeriodicalId":39317,"journal":{"name":"Chinese Journal of Lung Cancer","volume":"27 6","pages":"415-420"},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11258647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Research Progress on Predictive Biomarkers of Immunotherapy Efficacy
in Non-small Cell Lung Cancer]. [非小细胞肺癌免疫疗法疗效预测生物标志物的研究进展]。
Chinese Journal of Lung Cancer Pub Date : 2024-06-20 DOI: 10.3779/j.issn.1009-3419.2024.106.12
Tiansheng Sun, Zhang Chen, Kunchen Wei, Hao Tang
{"title":"[Research Progress on Predictive Biomarkers of Immunotherapy Efficacy\u2029in Non-small Cell Lung Cancer].","authors":"Tiansheng Sun, Zhang Chen, Kunchen Wei, Hao Tang","doi":"10.3779/j.issn.1009-3419.2024.106.12","DOIUrl":"10.3779/j.issn.1009-3419.2024.106.12","url":null,"abstract":"<p><p>Lung cancer is one of the most common malignant tumors in the world, of which non-small cell lung cancer (NSCLC) is the majority. The emergence of immune checkpoint inhibitors (ICIs) has greatly changed the treatment strategy of NSCLC and improved the prognosis of patients. However, in reality, only a small number of patients can achieve long-term benefit. Therefore, the identification of reliable predictive biomarkers is essential for the selection of treatment modalities. With the development of molecular biology and genome sequencing technology in recent years, as well as the in-depth understanding of tumor and its host immune microenvironment, research on biomarkers has emerged in an endless stream. This review focuses on the predictive biomarkers of immunotherapy efficacy in NSCLC, in order to provide some guidance for precision immunotherapy.\u2029.</p>","PeriodicalId":39317,"journal":{"name":"Chinese Journal of Lung Cancer","volume":"27 6","pages":"459-465"},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11258652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Chinese Expert Consensus on Day Surgery Management of Lung Cancer (2024 Edition)]. [肺癌日间手术治疗中国专家共识(2024 年版)]。
Chinese Journal of Lung Cancer Pub Date : 2024-06-20 DOI: 10.3779/j.issn.1009-3419.2024.102.24
{"title":"[Chinese Expert Consensus on Day Surgery Management of Lung Cancer (2024 Edition)].","authors":"","doi":"10.3779/j.issn.1009-3419.2024.102.24","DOIUrl":"10.3779/j.issn.1009-3419.2024.102.24","url":null,"abstract":"<p><p>To alleviate the medical burden of lung cancer surgery and facilitate the implementation of the national hierarchical diagnosis and treatment policy, it is imperative to establish a hierarchical diagnosis and treatment system for day surgery of lung cancer. Identifying key quality control checkpoints in day surgery of lung cancer is essential to enhance medical quality, ensure safety, and improve the efficiency of medical services. These efforts aim to uphold a safe and well-structured progression of day surgery practices in China. The Chinese Expert Consensus Group on Day Surgery Management of Lung Cancer has convened national experts in relevant fields and integrated the latest research findings from both domestic and international sources to craft the Chinese Expert Consensus on Day Surgery Management of Lung Cancer (2024 Edition). This consensus is founded on the principles of holistic management of lung cancer surgery and comprehensive patient care throughout their medical journey. It encompasses preoperative assessments, anesthesia protocols, surgical procedures, postoperative care, hospital-community collaboration initiatives, and emergency response strategies. The primary objective of this expert consensus is to furnish research assistance and clinical recommendations to advance the practice of day surgery for lung cancer patients in China.\u2029.</p>","PeriodicalId":39317,"journal":{"name":"Chinese Journal of Lung Cancer","volume":"27 6","pages":"405-414"},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11258644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Comparison of Short-term Efficacy of Neoadjuvant Immunotherapy Combined with Chemotherapy and Surgery Alone for Locally Advanced Resectable 
Non-small Cell Lung Cancer]. [新辅助免疫疗法联合化疗与单纯手术治疗局部晚期可切除非小细胞肺癌的短期疗效比较]。
Chinese Journal of Lung Cancer Pub Date : 2024-06-20 DOI: 10.3779/j.issn.1009-3419.2024.102.26
Haitian Li, Qing Liu, Bin Li, Yuzhen Chen, Junping Lin, Yuqi Meng, Haiming Feng, Zhizhong Zheng, Yiming Hui
{"title":"[Comparison of Short-term Efficacy of Neoadjuvant Immunotherapy Combined with Chemotherapy and Surgery Alone for Locally Advanced Resectable \u2029Non-small Cell Lung Cancer].","authors":"Haitian Li, Qing Liu, Bin Li, Yuzhen Chen, Junping Lin, Yuqi Meng, Haiming Feng, Zhizhong Zheng, Yiming Hui","doi":"10.3779/j.issn.1009-3419.2024.102.26","DOIUrl":"10.3779/j.issn.1009-3419.2024.102.26","url":null,"abstract":"<p><strong>Background: </strong>Lung cancer is the cancer with the highest incidence and mortality rates in China, and non-small cell lung cancer (NSCLC) accounts for 80%-85% of all malignant lung tumors. Currently, surgical treatment remains the primary treatment modality for lung cancer. In recent years, the effectiveness of immune checkpoint inhibitors for NSCLC has become a consensus, and neoadjuvant immunochemotherapy (nICT) has shown promising efficacy and safety in early to intermediate stage NSCLC. However, there are fewer studies related to nICT for locally advanced NSCLC. This study aims to evaluate the efficacy and safety of nICT therapy in locally advanced resectable NSCLC.</p><p><strong>Methods: </strong>85 confirmed resectable stage IIIA and IIIB patients treated in the Department of Thoracic Surgery, Second Hospital of Lanzhou University, from January 2021 to April 2024, were divided into the nICT group (n=32) and the surgery alone group (n=53). Clinical baseline data, perioperative indicators, postoperative complications, imaging response rate, pathological response rate, incidence of adverse events, and quality of life were compared between the two groups.</p><p><strong>Results: </strong>There were no statistically significant differences in clinical baseline data between the two groups (P>0.05). Incidence of choosing thoracotomy was higher in the nICT group than in the surgery alone group (P=0.002). There were no significant differences in surgical time, intraoperative blood loss, number of dissected lymph nodes, duration of chest tube placement, postoperative hospital stay, and R0 resection rate between the two groups (P>0.05). The overall incidence of postoperative complications was 31.25% in the nICT group and 22.64% in the surgery alone group, with no statistically significant difference (P=0.380). In the nICT group, the objective response rate (ORR) was 84.38%, with 5 cases of complete response (CR)(15.63%), 22 cases of partial response (PR)(68.75%), 15 cases of pathological response rate (pCR)(46.88%), and 11 cases of major pathological reaponse (MPR) (34.38%). During nICT treatment, 12 cases (37.50%) experienced grade 3 treatment-related adverse events, no death induced by adverse events or immune related adverse events. Moreover, the symptoms of the patients were improved after nICT treatment.</p><p><strong>Conclusions: </strong>Neoadjuvant immunochemotherapy shows promising efficacy in locally advanced resectable NSCLC, with manageable treatment-related adverse events. It is a safe and feasible neoadjuvant treatment modality for locally advanced resectable NSCLC.</p>","PeriodicalId":39317,"journal":{"name":"Chinese Journal of Lung Cancer","volume":"27 6","pages":"421-430"},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11258643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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