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Updated: Jul 1, 2025

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Published on: February 12, 2017
Management of stage III non-small-cell lung cancer: rays of hope
Floryane Kim1, Maxime Borgeaud1, Alfredo Addeo1
1Oncology Department, Geneva University Hospitals, 1205 Geneva, Switzerland.
Stage III non-small-cell lung cancer (NSCLC) management is complex, involving multimodal treatments. Recent advancements include immune-checkpoint inhibitors and targeted therapies for locally advanced disease.
Area of Science:
- Oncology
- Pulmonology
Background:
- Non-small-cell lung cancer (NSCLC) is the leading cause of cancer death globally.
- Stage III NSCLC, representing 30% of cases, is locally advanced with a poor prognosis.
- Management of Stage III NSCLC is complex and requires multidisciplinary team discussion.
Purpose of the Study:
- To review the current landscape of Stage III NSCLC management.
- To highlight recent advancements, including immunotherapy and targeted therapies.
- To discuss critical issues such as resectability and treatment sequencing.
Main Methods:
- Review of current literature and clinical practices.
- Discussion of multimodal treatment approaches.
- Focus on immune-checkpoint inhibitors (ICIs) and targeted therapies.
Main Results:
- Stage III NSCLC is a heterogeneous group requiring tailored treatment strategies.
- Optimal treatment sequences and patient selection remain areas of debate.
- Incorporation of ICIs and targeted therapies shows promise in this setting.
Conclusions:
- Multimodal treatment with a maximalist approach is crucial for Stage III NSCLC.
- Further research is needed to optimize treatment sequencing and identify predictive biomarkers.
- Advancements in immunotherapy and targeted therapy are transforming the management of locally advanced NSCLC.
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