[Progress and Discussion of Perioperative Targeted Therapy in Patients 
with EGFR-mutated Resectable Non-small Cell

Peng Song1, Yong Cui1

  • 1Department of Thoracic Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.

Insights

Epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TKIs) show promise in treating early-stage, resectable non-small cell lung cancer (NSCLC) with EGFR mutations. This review covers recent advancements in perioperative targeted therapy for this patient group.

Area of Science:

  • Oncology
  • Pharmacology

Background:

  • Lung cancer remains a leading global cause of cancer mortality.
  • Non-small cell lung cancer (NSCLC) constitutes approximately 80% of all lung cancer cases.
  • A significant portion of NSCLC patients (around 30%) present with resectable early to middle-stage disease.

Purpose of the Study:

  • To review the clinical progress of perioperative adjuvant targeted therapy for resectable NSCLC with EGFR mutations.
  • To discuss critical issues and challenges in ongoing clinical research for this therapeutic approach.

Main Methods:

  • Literature review of clinical research on perioperative adjuvant targeted therapy for EGFR-mutated resectable NSCLC.
  • Analysis of recent advancements and guideline recommendations for EGFR-TKIs in adjuvant settings.

Main Results:

  • Epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TKIs) have emerged as a significant breakthrough in adjuvant targeted therapy for EGFR-mutated resectable NSCLC.
  • Current guidelines recommend the clinical use of EGFR-TKIs for this specific patient population.

Conclusions:

  • Perioperative adjuvant targeted therapy with EGFR-TKIs represents a promising strategy for improving outcomes in EGFR-mutated resectable NSCLC.
  • Further research is needed to address key clinical questions and optimize treatment protocols.