Review Article

Oligometastatic Disease at Presentation or Recurrence for Nonsmall Cell Lung Cancer

Table 1

Selected studies of local treatment in oligometastatic NSCLC with brain metastases.

StudyYear CriteriaTreatmentFindings

Hu et al. [6]200684Solitary brain metastasisSRS or surgeryStage I intrathoracic patients had better OS outcomes than stage III
Bonnette et al. [7]2001108Brain metastasis (98 with solitary)SurgeryAdenocarcinoma, T stage, complete resection with better outcomes
Rodrigues et al. [8] 201166≤6 intracranial lesionsImage-guided SIB RTPresence of systemic disease, lower performance status correlated with decreased OS
Iwasaki et al. [9]200441Solitary brain metastasisResection of primary site and brain metastasisRisk score criteria for improved OS:
adenocarcinoma, node-negative, normal CEA level
Mussi et al. [10]199652Solitary brain metastasisResection of primary site and brain metastasisNo status, lobectomy associated with decreased OS. 5-year OS in patients with synchronous/metachronous lesions 6.6/19%, respectively
Machiarini et al.[11]199137Solitary brain metastasis. Synchronous (<1 month) and metachronous included.Resection of primary site and brain metastasisMost frequent site of first recurrence was ipsilateral thorax ( ) and brain ( ). The receipt of adjuvant chemotherapy was strongest predictor of disease-free interval
Wronski et al. [12]1995231Single (87%) or multiple (13%) metastatic intracranial lesionsResectionFemale gender, complete location, infratentorial location, no systemic metastases, age < 60 years associated with improved OS