The Current Status of Treatment for Oligometastatic Lung Cancer

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Therapy".

Deadline for manuscript submissions: 15 May 2025 | Viewed by 1580

Special Issue Editor


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Guest Editor
Department of Thoracic Surgery, Tokyo Medical University Hospital, Tokyo, Japan
Interests: video-assisted thoracic surgery; minimally invasive surgery; artificial intelligence and lung cancer; cancer-derived exosomes

Special Issue Information

Dear Colleagues,

The emergence of effective systemic therapies, such as immune checkpoint inhibitors and molecular-targeted therapies, along with the advent of precision medicine, has improved survival outcomes in advanced non-small-cell lung cancer. However, only a fraction of cases can avoid recurrence or progression. In this context, there has been increased awareness of the disease state, known as "oligometastases", and a multidisciplinary treatment strategy combining systemic and local ablative therapies has been explored for certain patients, potentially aiming to develop a cure.

The primary local treatment for oligometastatic lung cancer is radiation therapy, with high-precision radiation therapy being central to local ablative therapy in several ongoing randomized phase III trials. Studies exclusively focused on surgical treatment for oligometastatic lung cancer have been limited, although there are situations where surgical treatment is prioritized for local lesions. It is essential to clarify the criteria for local ablative therapy and to classify oligometastatic states systematically to develop an effective oligometastatic lung cancer treatment strategy in the future.

Dr. Yoshihisa Shimada
Guest Editor

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Keywords

  • oligometastases
  • oligo-recurrence
  • lung cancer
  • local ablative therapy

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Published Papers (1 paper)

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Review

11 pages, 216 KiB  
Review
Oligo-Recurrence in Lung Cancer; The Most Curable State Among Advanced Disease?
by Yoshihisa Shimada
Cancers 2024, 16(23), 4086; https://doi.org/10.3390/cancers16234086 - 6 Dec 2024
Cited by 1 | Viewed by 1143
Abstract
Despite the introduction of effective systemic therapies and advancements in precision medicine, recurrence or progression remains common in advanced non-small cell lung cancer (NSCLC). For a subset of patients with more localized metastatic disease—referred to as oligometastases and oligo-recurrence—emerging evidence suggests that a [...] Read more.
Despite the introduction of effective systemic therapies and advancements in precision medicine, recurrence or progression remains common in advanced non-small cell lung cancer (NSCLC). For a subset of patients with more localized metastatic disease—referred to as oligometastases and oligo-recurrence—emerging evidence suggests that a multimodal approach combining systemic therapy with local ablative therapies (LATs) may offer curative potential. Oligo-recurrence is defined by the presence of a limited number of metastases and recurrences in patients with controlled primary lesions. In this review, we focus on providing a comprehensive overview of the evidence supporting the concepts of oligo-recurrence in lung cancer, which is considered one of the most curable states among advanced diseases. Although the definition remains variable and is still under discussion, retrospective studies have reported that it is not a rare condition (occurring in 18–53% of cases) and shows relatively better survival outcomes regardless of whether a local ablative therapy (LAT) is performed. However, this classification remains a topic of ongoing debate and warrants further exploration. In addition to an ongoing randomized clinical trial on oligo-recurrent NSCLC, further rigorous studies specifically addressing oligo-recurrence are needed to refine treatment strategies for this advanced yet potentially curable state. These investigations are essential for developing effective, tailored approaches to optimize outcomes for patients within this prognostically favorable subgroup. Full article
(This article belongs to the Special Issue The Current Status of Treatment for Oligometastatic Lung Cancer)
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