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Endobronchial Ultrasound-guided Intratumoral Injection of Cisplatin for the Treatment of Isolated Mediastinal Recurrence of Lung Cancer
Published on: February 12, 2017
Chemoprevention of lung cancer
Jean-Charles Soria1, Edward S Kim, Jérôme Fayette
1Departement of Medicine, Institut Gustave Roussy, Villejuif, France. soria@igr.fr
Abstract:
Lung cancer is a major cause of mortality and morbidity worldwide. Overall survival has only improved slightly despite advances in surgery, radiotherapy, and chemotherapy. Molecularly targeted agents are currently being studied in all treatment settings including that of chemoprevention, which is defined as the use of natural or synthetic agents to interrupt the process of carcinogenesis and to prevent or delay tumour occurrence. Lung cancer has become an increasingly difficult problem to treat with standard therapies and chemopreventive strategies have been developed. Progress in chemoprevention is reliant on the collaborative efforts of researchers in basic science and clinical settings who study the biology of lung cancer with the goal of uncovering new mechanisms of carcinogenesis. Small molecules which target specific receptors or mutations such as inhibitors of epidermal growth factor receptor or RAS will have an increasingly significant role as they are associated with more tolerable side-effects and may prove more effective. Development of a risk model with intermediate endpoints is essential for future chemoprevention studies.
Insights
Lung cancer chemoprevention strategies are crucial due to limited survival improvements. Molecularly targeted agents show promise for preventing or delaying cancer by targeting specific mutations with fewer side effects.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Prevention
Background:
- Lung cancer remains a leading cause of global mortality, with modest survival improvements from conventional treatments like surgery, radiotherapy, and chemotherapy.
- The increasing difficulty in treating lung cancer necessitates the development of novel strategies, including chemoprevention.
- Chemoprevention aims to interrupt carcinogenesis and prevent or delay tumor occurrence using natural or synthetic agents.
Purpose of the Study:
- To explore the role of molecularly targeted agents in lung cancer chemoprevention.
- To highlight the importance of collaborative research in understanding lung cancer biology and carcinogenesis.
- To emphasize the need for risk models and intermediate endpoints in future chemoprevention studies.
Main Methods:
- Review of current research on lung cancer chemoprevention strategies.
- Analysis of the potential of molecularly targeted agents, such as epidermal growth factor receptor and RAS inhibitors.
- Discussion on the collaborative efforts between basic science and clinical research.
Main Results:
- Molecularly targeted agents demonstrate potential in chemoprevention due to their specificity and tolerable side-effect profiles.
- Targeting specific receptors or mutations offers a promising avenue for more effective lung cancer prevention.
- Progress in chemoprevention relies on a deeper understanding of carcinogenesis mechanisms.
Conclusions:
- Molecularly targeted agents are poised to play a significant role in lung cancer chemoprevention.
- Collaborative research is essential for advancing chemopreventive strategies.
- Development of robust risk models is critical for the success of future chemoprevention trials.
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