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Lung Cancer

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Practical Medical Oncology Textbook

Abstract

In the last few decades, several steps forward have been made in the prevention, diagnosis, and treatment of lung cancer. The advent of innovative therapies significantly improved both survival outcomes and quality of life of patients with advanced non-small cell lung cancer (NSCLC). The identification of oncogene drivers and the development of targeted therapies led to a radical shift from pathological to molecular classification of lung adenocarcinoma, establishing a new paradigm of “personalized therapy.” The recent understanding of the biological mechanisms underlying cancer immune evasion has allowed the development of a new class of immunomodulatory agents, known as immune checkpoint inhibitors (ICIs), which are able to reactivate host immune response, offering the potential for long-term disease control and survival in a significant subgroup of patients. Encouraging activity with ICIs has recently emerged from early clinical trials including also patients with small cell lung cancer (SCLC), which is still considered as an “orphan” disease with very few treatment options available and poor prognosis. Finally the advent of liquid biopsy and next-generation sequencing (NGS) technologies significantly improved the clinical management of lung cancer patients, offering the potential for non-invasive monitoring of tumor molecular profile and favoring the access to personalized treatment strategies.

Francesco Passiglia, Valerio Gristina, and Christian Rolfo should be considered equally co-first authors.

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Passiglia, F., Gristina, V., Rolfo, C., Barraco, N., Bazan, V., Russo, A. (2021). Lung Cancer. In: Russo, A., Peeters, M., Incorvaia, L., Rolfo, C. (eds) Practical Medical Oncology Textbook. UNIPA Springer Series. Springer, Cham. https://doi.org/10.1007/978-3-030-56051-5_32

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