Cited by 147Brain Metastases and TreatmentLung Cancer Treatments and MutationsLung Cancer Diagnosis and Treatment

Indications and limitations of chemotherapy and targeted agents in non-small cell lung cancer brain metastases

Zimmermann, Stefan, Dziadziuszko, Rafal, Peters, Solange·2014·Cancer Treatment Reviews

Abstract

Lung cancer is characterized by the highest incidence of solid tumor-related brain metastases, which are reported with a growing incidence during the last decade. Prognostic assessment may help to identify subgroups of patients that could benefit from more aggressive therapy of metastatic disease, in particular when central nervous system is involved. The recent sub-classification of non-small cell lung cancer (NSCLC) into molecularly-defined "oncogene-addicted" tumors, the emergence of effective targeted treatments in molecularly defined patient subsets, global improvement of advanced NSCLC survival as well as the availability of refined new radiotherapy techniques are likely to impact on outcomes of patients with brain dissemination. The present review focuses on key evidence and research strategies for systemic treatment of patients with central nervous system involvement in non-small cell lung cancer.

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Crossref · 10.1016/j.ctrv.2014.03.005

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  • Retrospective studies and small phase II trials reported activity for EGFR TKIs in EGFR-mutated patients with brain metastases, with RR ranging from 60% to 100% and complete response rates that range 40%.

    “Retrospective studies and small phase II trials reported intriguing activity for EGFR TKIs in EGFR-mutated patients with BMs, with RR ranging from 60% to 100% and complete response (CR) rates that ranges 40% [91, 92].”

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Authors
Zimmermann, S., Dziadziuszko, R., & Peters, S.
Affiliations
Centre Hospitalier Universitaire Vaudois (CH)
Venue
Cancer Treatment Reviews
Publisher
Elsevier BV
Published
2014-07
Volume
40
Issue
6
Pages
716-722
ISSN
0305-7372 (ISSN-L)
OpenAlex
W2025208846
Cited by
147
References
100
Citations by year
2026: 3 · 2025: 6 · 2024: 10 · 2023: 7 · 2022: 10 · 2021: 15 · 2020: 13 · 2019: 15 · 2018: 17 · 2017: 16 · 2016: 17 · 2015: 14 · 2014: 4
FWCI
2.91
Type
journal article
Language
en
Open access
closed
Locations
  • Cancer Treatment Reviews (publishedVersion)
  • PubMed (publishedVersion)
  • IRIS (submittedVersion)
  • SERVAL (Université de Lausanne) (submittedVersion)
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Brain Metastases and Treatment
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Treatments and Mutations
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Diagnosis and Treatment
Keywords
non-small cell lung cancer, brain metastases, chemotherapy, targeted therapy, central nervous system metastasis, prognostic assessment, molecular subtyping, systemic therapy, radiotherapy
MeSH terms
Erlotinib Hydrochloride, Gefitinib, Antineoplastic Combined Chemotherapy Protocols, Blood-Brain Barrier, Brain Neoplasms, Carcinoma, Non-Small-Cell Lung, Humans, Lung Neoplasms, Prognosis, Quinazolines, Incidence, Radiosurgery, Treatment Outcome, Molecular Targeted Therapy, ErbB Receptors

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