Review Article

A Call for the Aggressive Treatment of Oligometastatic and Oligo-Recurrent Non-Small Cell Lung Cancer

Table 1

Selected series for the comprehensive treatment of metastatic NSCLC.

Study Metastatic sitesTreatments 1-year PFS5-year OS

University of Maryland [23]72Brain (metachronous)SRS13.2%
University of Maryland [24]42Brain (synchronous)SRS, TS, RT, CRT, HIGRT21%
Hopital Louis Pradel
Hospices Civils de Lyon, Lyonnce [25]
51Brain (synchronous)BS, TS, RT, CRT42% (BS + others) versus 5% (BS only)*
University of Rochester [26]38Multisite, 1–8 metastasesHIGRT14%
Rush University Medical Center [27]23Multi-site, 1-2 metastasesTS, RT, HIGRT22%
University of Chicago [28]25Multi-site, 1–5 metastasesHIGRT (3–10 fx)28% 53% (18 mo)
Maastricht University Medical Center [29]39Brain, bone, adrenalTS, SRS, RT, HIGRT24%*

*2 yr estimates; SRS: stereotactic radiosurgery; BS: brain surgery; TS: thoracic Surgery; RT: radiotherapy; CRT: chemoradiotherapy; HIGRT: hypofractionated image-guided radiotherapy.