Mesh : Humans Lung Neoplasms / diagnosis diagnostic imaging pathology Carcinoma, Non-Small-Cell Lung / pathology diagnosis Early Detection of Cancer / methods Tomography, X-Ray Computed / methods Piperidines / therapeutic use Carbazoles / therapeutic use

来  源:   DOI:10.1016/j.medj.2024.05.010

Abstract:
The ALINA trial1 demonstrated that 2 years of adjuvant alectinib achieved statistically significantly improved 2-year overall and central nervous system (CNS) disease-free survival over platinum-doublet chemotherapy in resected early-stage (IB ≥ 4 cm to IIIA) ALK+ non-small cell lung cancer (NSCLC). Identifying early-stage ALK+ NSCLC patients (60% were never-smokers in the ALINA trial) may require low-dose computed tomography (LDCT) lung cancer screening in never-smokers.
摘要:
ALINA试验1表明,在切除的早期(IB≥4cm至IIIA)ALK非小细胞肺癌(NSCLC)中,与铂双重化疗相比,2年的辅助治疗阿莱替尼在统计学上显着改善了2年的总体和中枢神经系统(CNS)无病生存率。识别早期ALK+NSCLC患者(在ALINA试验中60%是从不吸烟者)可能需要在从不吸烟者中进行低剂量计算机断层扫描(LDCT)肺癌筛查。
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