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Updated: Jun 13, 2026

Endobronchial Ultrasound-guided Intratumoral Injection of Cisplatin for the Treatment of Isolated Mediastinal Recurrence of Lung Cancer
Published on: February 12, 2017
Perspectives in adjuvant chemotherapy in NSCLC
Giovanni Selvaggi1, Giorgio Vittorio Scagliotti
1University of Turin, Department of Clinical & Biological Sciences, Thoracic Oncology Unit, San Luigi Hospital, Regione Gonzole 10, 10043 Orbassano Torino, Italy. gselvaggi@inwind.it
Lung cancer survival remains poor, but chemotherapy and surgical advances offer improvements. Future adjuvant treatments require pharmacogenomic profiling for personalized patient selection.
Area of Science:
- Oncology
- Thoracic Surgery
- Pharmacogenomics
Background:
- Lung cancer survival rates remain suboptimal, with a 5-year survival below 15% as of 2007.
- Recent decades show modest survival improvements driven by enhanced surgical techniques and novel chemotherapeutic agents.
Purpose of the Study:
- To review the current landscape of adjuvant chemotherapy for lung cancer.
- To highlight the need for personalized treatment strategies based on molecular markers and pharmacogenomics.
Main Methods:
- Review of recent advancements in lung cancer treatment, including surgical improvements and chemotherapy regimens.
- Analysis of existing data on adjuvant chemotherapy efficacy across different lung cancer stages (IA, IB, II-IIIA).
Main Results:
- Adjuvant chemotherapy demonstrates clear benefits in Stage II-IIIA non-small cell lung cancer.
- Evidence suggests potential efficacy in Stage IB, while Stage IA data requires further validation in diverse populations.
- Optimal chemotherapy regimens and the role of targeted agents in the adjuvant setting are yet to be determined.
Conclusions:
- Further clinical trials are essential to establish optimal adjuvant chemotherapy regimens and the role of targeted therapies.
- Pharmacogenomic profiling and biomolecular marker identification are crucial for selecting patients who will benefit from individualized adjuvant treatments.
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