Integrating natural woody composites with modern therapies for enhanced lung cancer treatment
Source abstract
Abstract
Lung cancer accounts for the majority of cancer-related deaths globally. Exploring more efficacious and low-toxicity treatments has become a top priority. While there have been advancements in established therapies like surgery, chemotherapy, and immunotherapy, these treatments often lead to side effects, limited effectiveness in advanced stages, and development of drug resistance. These challenges persistently hinder efforts to improve patient outcomes. Here, we review the utilization of medicine of natural woody composites (MNWC) in treating lung cancer with a specific focus on its integration with contemporary therapeutic modalities, for instance, chemotherapy, radiotherapy, molecularly targeted therapies and immunotherapy. The examination indicates that MNWC not only amplifies the efficacy of these treatments but also diminishes associated adverse effects. Clinical research demonstrates that when MNWC and chemotherapy are used jointly, it can extend the median survival rate of advanced non-small cell lung cancer (NSCLC) sufferers by 33% (from 12 to 16 months). Moreover, MNWC can upregulate apoptosis-related pathways and downregulate PD-L1 expression, thereby increasing immune response efficacy by 25% in preclinical models. However, the effectiveness of MNWC necessitates comprehensive validation through large-scale clinical trials, while the standardization of dosing regimens presents a significant challenge. These findings emphasize the potential of MNWC to revolutionize lung cancer therapy by providing a complementary and synergistic approach that maximizes treatment efficacy while minimizing adverse effects. Nonetheless, careful consideration is essential to fully integrate these treatments into conventional oncology practice.
Source: openalex_inverted_index · Quality: baseline
Research context
OpenAlex topics: Tannin, Tannase and Anticancer Activities
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
References (100+)
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1. Siegel R, Naishadham D, Jemal A (2013) Cancer statistics, 2013. Ca-a Cancer J Clin 63(1):11–30. https://doi.org/10.3322/caac.2116610.3322/caac.21166 ↗
2. Sung H et al (2021) Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. Ca-a Cancer J Clin 71(3):209–249. https://doi.org/10.3322/caac.2166010.3322/caac.21660 ↗
3. Siegel RL et al (2022) Cancer statistics, 2022. Ca-a Cancer J Clin 72(1):7–33. https://doi.org/10.3322/caac.2170810.3322/caac.21708 ↗
4. Han B et al (2024) Cancer incidence and mortality in China, 2022. J National Cancer Center 4(1):47–53. https://doi.org/10.1016/j.jncc.2024.01.00610.1016/j.jncc.2024.01.006 ↗
5. Jemal A et al (2011) Global cancer statistics. Ca-a Cancer J Clin 61(2):69–90. https://doi.org/10.3322/caac.2010710.3322/caac.20107 ↗
6. Katanoda K et al (2011) An association between long-term exposure to ambient air pollution and mortality from lung cancer and respiratory diseases in Japan. J Epidemiol 21(2):132–143. https://doi.org/10.2188/jea.JE2010009810.2188/jea.JE20100098 ↗
7. Liaw YP et al (2010) Cell type specificity of lung cancer associated with nitric oxide. Sci Total Environ 408(21):4931–4934. https://doi.org/10.1016/j.scitotenv.2010.06.02310.1016/j.scitotenv.2010.06.023 ↗
8. Matakidou A, Eisen T, Houlston RS (2005) Systematic review of the relationship between family history and lung cancer risk. Br J Cancer 93(7):825–833. https://doi.org/10.1038/sj.bjc.660276910.1038/sj.bjc.6602769 ↗
9. Ramanakumar AV et al (2011) Exposures in painting-related occupations and risk of lung cancer among men: results from two case-control studies in Montreal. Occup Environ Med 68(1):44–51. https://doi.org/10.1136/oem.2009.04995710.1136/oem.2009.049957 ↗
10. Wang D et al (2024) Dark under the lamp: neglected biological pollutants in the environment are closely linked to lung cancer. Int J Mol Sci 25(6):3081. https://doi.org/10.3390/ijms2506308110.3390/ijms25063081 ↗
11. Nishida C, Yatera K (2022) The impact of ambient environmental and occupational pollution on respiratory diseases. Int J Environ Res Public Health 19(5):2788. https://doi.org/10.3390/ijerph1905278810.3390/ijerph19052788 ↗
12. Stephens EKH et al (2023) Air pollution and lung cancer-a new era. Respirology 28(4):313–315. https://doi.org/10.1111/resp.1446410.1111/resp.14464 ↗
13. Pyambri M et al (2023) Effects of indoor dust exposure on lung cells: association of chemical composition with phenotypic and lipid changes in a 3D lung cancer cell model. Environ Sci Technol 57(49):20532–20541. https://doi.org/10.1021/acs.est.3c0757310.1021/acs.est.3c07573 ↗
14. Zhou W et al (2016) Repeated PM2.5 exposure inhibits BEAS-2B cell P53 expression through ROS-Akt-DNMT3B pathway-mediated promoter hypermethylation. Oncotarget 7(15):20691–20703. https://doi.org/10.18632/oncotarget.784210.18632/oncotarget.7842 ↗
15. Ni Y, Shi G, Qu J (2020) Indoor PM2.5, tobacco smoking and chronic lung diseases: a narrative review. Environ Res 181:108910. https://doi.org/10.1016/j.envres.2019.10891010.1016/j.envres.2019.108910 ↗
16. Lu L et al (2020) Tobacco smoke plays an important role in initiation and development of lung cancer by promoting the characteristics of cancer stem cells. Cancer Manage Res 12:9735–9739. https://doi.org/10.2147/cmar.S27227710.2147/cmar.S272277 ↗
17. Schaal CM et al (2018) Regulation of Sox2 and stemness by nicotine and electronic-cigarettes in non-small cell lung cancer. Mol Cancer 17:149. https://doi.org/10.1186/s12943-018-0901-210.1186/s12943-018-0901-2 ↗
18. Xie C et al (2019) Sulforaphane inhibits the acquisition of tobacco smoke-induced lung cancer stem cell-like properties via the IL-6/ΔNp63α/Notch Axis. Theranostics 9(16):4827–4840. https://doi.org/10.7150/thno.3381210.7150/thno.33812 ↗
19. Wang J et al (2018) Wnt/β-catenin modulates chronic tobacco smoke exposure-induced acquisition of pulmonary cancer stem cell properties and diallyl trisulfide intervention. Toxicol Lett 291:70–76. https://doi.org/10.1016/j.toxlet.2018.04.00310.1016/j.toxlet.2018.04.003 ↗
20. Islami F et al (2018) Proportion and number of cancer cases and deaths attributable to potentially modifiable risk factors in the United States. Ca-a Cancer J Clinicians 68(1):31–54. https://doi.org/10.3322/caac.2144010.3322/caac.21440 ↗
21. Siegel DA et al (2021) Proportion of never smokers among men and women with lung cancer in 7 US States. JAMA Oncol 7(2):302–304. https://doi.org/10.1001/jamaoncol.2020.636210.1001/jamaoncol.2020.6362 ↗
22. Xia CF et al (2022) Cancer statistics in China and United States, 2022: profiles, trends, and determinants. Chin Med J 135(5):584–590. https://doi.org/10.1097/cm9.000000000000210810.1097/cm9.0000000000002108 ↗
23. Shahadin MS et al (2018) Challenges and future direction of molecular research in air pollution related lung cancers. Lung Cancer 118:69–75. https://doi.org/10.1016/j.lungcan.2018.01.01610.1016/j.lungcan.2018.01.016 ↗
24. van Meerbeeck JP, Fennell DA, De Ruysscher DKM (2011) Small-cell lung cancer. Lancet 378(9804):1741–1755. https://doi.org/10.1016/s0140-6736(11)60165-710.1016/s0140-6736(11)60165-7 ↗
25. Rudin CM et al (2021) Small-cell lung cancer. Nat Rev Dis Primers 7(1):20. https://doi.org/10.1038/s41572-020-00235-010.1038/s41572-020-00235-0 ↗
26. Hou J-M et al (2012) Clinical significance and molecular characteristics of circulating tumor cells and circulating tumor microemboli in patients with small-cell lung cancer. J Clin Oncol 30(5):525–532. https://doi.org/10.1200/jco.2010.33.371610.1200/jco.2010.33.3716 ↗
27. Byers LA, Rudin CM (2015) Small cell lung cancer: where do we go from here? Cancer 121(5):664–672. https://doi.org/10.1002/cncr.2909810.1002/cncr.29098 ↗
28. Parikh M, Riess J, Lara PN Jr (2016) New and emerging developments in extensive-stage small cell lung cancer therapeutics. Curr Opin Oncol 28(2):97–103. https://doi.org/10.1097/cco.000000000000026410.1097/cco.0000000000000264 ↗
29. Yang Y et al (2019) Benefits of surgery in the multimodality treatment of stage IIB-IIIC small cell lung cancer. J Cancer 10(22):5404–5412. https://doi.org/10.7150/jca.3120210.7150/jca.31202 ↗
30. Lim E et al (2008) The role of surgery in the treatment of limited disease small cell lung cancer time to reevaluate. J Thorac Oncol 3(11):1267–1271. https://doi.org/10.1097/JTO.0b013e318189a86010.1097/JTO.0b013e318189a860 ↗
31. Weckler BC, Baldes N, Schirren J (2019) Survival following multimodality treatment including surgery for stage IA-IIIB Small-Cell Lung Cancer. Thorac Cardiovasc Surgeon 67(4):291–298. https://doi.org/10.1055/s-0038-166714510.1055/s-0038-1667145 ↗
32. Eckardt JR et al (2006) Open-label, multicenter, randomized, phase III study comparing oral topotecan/cisplatin versus etoposide/cisplatin as treatment for chemotherapy-naive patients with extensive-disease small-cell lung cancer. J Clin Oncol 24(13):2044–2051. https://doi.org/10.1200/jco.2005.03.333210.1200/jco.2005.03.3332 ↗
33. Jotte R et al (2011) Randomized phase II trial of single-agent amrubicin or topotecan as second-line treatment in patients with small-cell lung cancer sensitive to first-line platinum-based chemotherapy. J Clin Oncol 29(3):287–293. https://doi.org/10.1200/jco.2010.29.885110.1200/jco.2010.29.8851 ↗
34. Kalemkerian GP et al (2011) Small cell lung cancer. J Natl Compr Canc Netw 9(10):1086–1113. https://doi.org/10.6004/jnccn.2011.009210.6004/jnccn.2011.0092 ↗
35. Goto K et al (2016) Combined chemotherapy with cisplatin, etoposide, and irinotecan versus topotecan alone as second-line treatment for patients with sensitive relapsed small-cell lung cancer (JCOG0605): a multicentre, open-label, randomised phase 3 trial. Lancet Oncology 17(8):1147–1157. https://doi.org/10.1016/s1470-2045(16)30104-810.1016/s1470-2045(16)30104-8 ↗
36. Katakami N et al (2012) A phase 3 study of induction treatment with concurrent chemoradiotherapy versus chemotherapy before surgery in patients with pathologically confirmed N2 stage IIIA nonsmall cell lung cancer (WJTOG9903). Cancer 118(24):6126–6135. https://doi.org/10.1002/cncr.2668910.1002/cncr.26689 ↗
37. Nosaki K, Seto T (2015) The role of radiotherapy in the treatment of small-cell lung cancer. Curr Treat Options Oncol 16(12):56. https://doi.org/10.1007/s11864-015-0372-210.1007/s11864-015-0372-2 ↗
38. Uzel EK, Abacioglu U (2015) Treatment of early stage non-small cell lung cancer: surgery or stereotactic ablative radiotherapy? Balkan Med J 32(1):8–16. https://doi.org/10.5152/balkanmedj.2015.1555310.5152/balkanmedj.2015.15553 ↗
39. Renaud S et al (2013) Is radiofrequency ablation or stereotactic ablative radiotherapy the best treatment for radically treatable primary lung cancer unfit for surgery? Interact Cardiovasc Thorac Surg 16(1):68–73. https://doi.org/10.1093/icvts/ivs42310.1093/icvts/ivs423 ↗
40. Lund EL et al (2000) Relationship between vessel density and expression of vascular endothelial growth factor and basic fibroblast growth factor in small cell lung cancer in vivo and in vitro. Clin Cancer Res : An Off J Am Assoc Cancer Res 6(11):4287–4291
41. Rudin CM et al (2017) Rovalpituzumab tesirine, a DLL3-targeted antibody-drug conjugate, in recurrent small-cell lung cancer: a first-in-human, first-in-class, open-label, phase 1 study. Lancet Oncol 18(1):42–51. https://doi.org/10.1016/s1470-2045(16)30565-410.1016/s1470-2045(16)30565-4 ↗
42. Melichar B et al (2015) Safety and activity of alisertib, an investigational aurora kinase a inhibitor, in patients with breast cancer, small-cell lung cancer, non-small-cell lung cancer, head and neck squamous-cell carcinoma, and gastro-oesophageal adenocarcinoma: a five-arm phase 2 study. Lancet Oncol 16(4):395–405. https://doi.org/10.1016/s1470-2045(15)70051-310.1016/s1470-2045(15)70051-3 ↗
43. Xu X et al (2018) The efficacy and safety of anti-PD-1/PD-L1 antibodies combined with chemotherapy or CTLA4 antibody as a first-line treatment for advanced lung cancer. Int J Cancer 142(11):2344–2354. https://doi.org/10.1002/ijc.3125210.1002/ijc.31252 ↗
44. Davidson MR, Gazdar AF, Clarke BE (2013) The pivotal role of pathology in the management of lung cancer. J Thorac Dis 5:S463–S478. https://doi.org/10.3978/j.issn.2072-1439.2013.08.4310.3978/j.issn.2072-1439.2013.08.43 ↗
45. Loncarevic O et al (2018) Overall survival of patients with non-small cell lung cancer after surgery treatment. Vojnosanit Pregl 75(12):1157–1164. https://doi.org/10.2298/vsp161226043l10.2298/vsp161226043l ↗
46. Chen Z et al (2014) Non-small-cell lung cancers: a heterogeneous set of diseases. Nat Rev Cancer 14(8):535–546. https://doi.org/10.1038/nrc377510.1038/nrc3775 ↗
47. Suda K et al (2014) Recent evidence, advances, and current practices in surgical treatment of lung cancer. Respir Investig 52(6):322–329. https://doi.org/10.1016/j.resinv.2014.06.00310.1016/j.resinv.2014.06.003 ↗
48. Go T et al (2015) Role of surgery in multi-modality treatment for carcinomatous pleuritis in patients with non-small cell lung cancer. Surg Today 45(2):197–202. https://doi.org/10.1007/s00595-014-0987-010.1007/s00595-014-0987-0 ↗
49. van Dorp M et al (2020) Surgical treatment of pulmonary metastases in the Netherlands: data from the Dutch Lung Cancer Audit for surgery. Eur J Cardiothorac Surg 58(4):768–774. https://doi.org/10.1093/ejcts/ezaa09010.1093/ejcts/ezaa090 ↗
50. Fan X-L, Liu Y-X, Tian H (2013) Video-assisted thoracoscopic surgery for treatment of earlystage non-small cell lung cancer. Asian Pac J Cancer Prev 14(5):2871–2877. https://doi.org/10.7314/apjcp.2013.14.5.287110.7314/apjcp.2013.14.5.2871 ↗
51. Bin Yameen TA, Gupta V, Behzadi A (2019) Uniportal versus multiportal video-assisted thoracoscopic surgery in the treatment of lung cancer: a Canadian single-centre retrospective study. Can J Surg 62(6):468–474. https://doi.org/10.1503/cjs.00141810.1503/cjs.001418 ↗
52. Xue Y et al (2015) A study of complete video-assisted thoracoscopic surgery lobectomy in treatment of elderly patients with non-small cell lung cancer: curative effect and impact on clinical prognosis. Cell Biochem Biophys 73(2):399–404. https://doi.org/10.1007/s12013-015-0649-x10.1007/s12013-015-0649-x ↗
53. Yamashita S-I et al (2011) Clinical impact of segmentectomy compared with lobectomy under complete video-assisted thoracic surgery in the treatment of stage I non-small cell lung cancer. J Surg Res 166(1):46–51. https://doi.org/10.1016/j.jss.2009.04.00610.1016/j.jss.2009.04.006 ↗
54. Dai F et al (2016) Single-port video-assisted thoracic surgery in the treatment of non-small cell lung cancer: a propensity-matched comparative analysis. J Thorac Di 8(10):2872–2878. https://doi.org/10.21037/jtd.2016.10.2710.21037/jtd.2016.10.27 ↗
55. Yang X et al (2018) Uniport versus multiport video-assisted thoracoscopic surgery in the perioperative treatment of patients with T1–3N0M0 non-small cell lung cancer: a systematic review and meta-analysis. J Thorac Dis 10(4):2186–2195. https://doi.org/10.21037/jtd.2018.03.7410.21037/jtd.2018.03.74 ↗
56. Ardizzoni A et al (2007) Cisplatin-versus carboplatin-based chemotherapy in first-line treatment of advanced non-small-cell lung cancer: an individual patient data meta-analysis. J Natl Cancer Inst 99(11):847–857. https://doi.org/10.1093/jnci/djk19610.1093/jnci/djk196 ↗
57. Rossi A, Di Maio M (2016) Platinum-based chemotherapy in advanced non-small-cell lung cancer: optimal number of treatment cycles. Expert Rev Anticancer Ther 16(6):653–660. https://doi.org/10.1586/14737140.2016.117059610.1586/14737140.2016.1170596 ↗
58. Stinchcombe TE et al (2008) Third-generation chemotherapy agents in the treatment of advanced non-small cell lung cancer: a meta-analysis. J Thorac Oncol 3(3):320–322. https://doi.org/10.1097/JTO.0b013e318166b86b10.1097/JTO.0b013e318166b86b ↗
59. Goffin J et al (2010) First-line systemic chemotherapy in the treatment of advanced non-small cell lung cancer: a systematic review. J Thorac Oncol 5(2):260–274. https://doi.org/10.1097/JTO.0b013e3181c6f03510.1097/JTO.0b013e3181c6f035 ↗
60. Waters JS, O’Brien MER (2002) The case for the introduction of new chemotherapy agents in the treatment of advanced non small cell lung cancer in the wake of the findings of The National Institute of Clinical Excellence (NICE). Br J Cancer 87(5):481–490. https://doi.org/10.1038/sj.bjc.660049110.1038/sj.bjc.6600491 ↗
61. Wagner TD, Yang GY (2010) The Role of Chemotherapy and Radiation in the Treatment of Locally Advanced Non-Small Cell Lung Cancer (NSCLC). Curr Drug Targets 11(1):67–73. https://doi.org/10.2174/13894501079003095610.2174/138945010790030956 ↗
62. Timmerman R et al (2010) Stereotactic Body Radiation Therapy for Inoperable Early Stage Lung Cancer. Jama-Journal Am Med Assoc 303(11):1070–1076. https://doi.org/10.1001/jama.2010.26110.1001/jama.2010.261 ↗
63. Bradley JD et al (2010) STEREOTACTIC BODY RADIATION THERAPY FOR EARLY-STAGE NON-SMALL-CELL LUNG CANCER: THE PATTERN OF FAILURE IS DISTANT. Int J Radiat Oncol Biol Phys 77(4):1146–1150. https://doi.org/10.1016/j.ijrobp.2009.06.01710.1016/j.ijrobp.2009.06.017 ↗
64. Senan S, Paul MA, Lagerwaard FJ (2013) Treatment of early-stage lung cancer detected by screening: surgery or stereotactic ablative radiotherapy? Lancet Oncology 14(7):E270–E274. https://doi.org/10.1016/s1470-2045(12)70592-210.1016/s1470-2045(12)70592-2 ↗
65. Ostheimer C et al (2019) Mortality after radiotherapy or surgery in the treatment of early stage non-small-cell lung cancer: a population-based study on recent developments. J Cancer Res Clin Oncol 145(11):2813–2822. https://doi.org/10.1007/s00432-019-03013-y10.1007/s00432-019-03013-y ↗
66. Mokhles S et al (2015) Comparison of clinical outcome of stage I non-small cell lung cancer treated surgically or with stereotactic radiotherapy: Results from propensity score analysis. Lung Cancer 87(3):283–289. https://doi.org/10.1016/j.lungcan.2015.01.00510.1016/j.lungcan.2015.01.005 ↗
67. Zhang B et al (2014) Matched-pair comparisons of stereotactic body radiotherapy (SBRT) versus surgery for the treatment of early stage non-small cell lung cancer: A systematic review and meta-analysis. Radiother Oncol 112(2):250–255. https://doi.org/10.1016/j.radonc.2014.08.03110.1016/j.radonc.2014.08.031 ↗
68. Grills IS et al (2010) Outcomes After Stereotactic Lung Radiotherapy or Wedge Resection for Stage I Non-Small-Cell Lung Cancer. J Clin Oncol 28(6):928–935. https://doi.org/10.1200/jco.2009.25.092810.1200/jco.2009.25.0928 ↗
69. Puri V et al (2015) Treatment Outcomes in Stage I Lung Cancer A Comparison of Surgery and Stereotactic Body Radiation Therapy. J Thorac Oncol 10(12):1776–1784. https://doi.org/10.1097/jto.000000000000068010.1097/jto.0000000000000680 ↗
70. Lanni TB Jr et al (2011) Stereotactic Radiotherapy Reduces Treatment Cost While Improving Overall Survival and Local Control Over Standard Fractionated Radiation Therapy for Medically Inoperable Non-Small-Cell Lung Cancer. Am J Clin Oncology-Cancer Clin Trials 34(5):494–498. https://doi.org/10.1097/COC.0b013e3181ec63ae10.1097/COC.0b013e3181ec63ae ↗
71. Robinson CG et al (2013) Patterns of Failure after Stereotactic Body Radiation Therapy or Lobar Resection for Clinical Stage I Non-Small-Cell Lung Cancer. J Thorac Oncol 8(2):192–201. https://doi.org/10.1097/JTO.0b013e31827ce36110.1097/JTO.0b013e31827ce361 ↗
72. Crabtree TD et al (2014) Analysis of first recurrence and survival in patients with stage I non-small cell lung cancer treated with surgical resection or stereotactic radiation therapy. J Thorac Cardiovasc Surg 147(4):1183–1191. https://doi.org/10.1016/j.jtcvs.2013.11.05710.1016/j.jtcvs.2013.11.057 ↗
73. Solda F et al (2013) Stereotactic radiotherapy (SABR) for the treatment of primary non-small cell lung cancer; Systematic review and comparison with a surgical cohort. Radiother Oncol 109(1):1–7. https://doi.org/10.1016/j.radonc.2013.09.00610.1016/j.radonc.2013.09.006 ↗
74. Alberts L et al (2019) Patient-reported outcomes after the treatment of early stage non-small-cell lung cancer with stereotactic body radiotherapy compared with surgery. Clin Lung Cancer 20(5):370-+. https://doi.org/10.1016/j.cllc.2019.04.00110.1016/j.cllc.2019.04.001 ↗
75. Palma DA, Senan S (2012) Early-Stage Non-Small Cell Lung Cancer in Elderly Patients: Should Stereotactic Radiation Therapy Be the Standard of Care? Int J Radiat Oncol Biol Phys 84(5):1058–1059. https://doi.org/10.1016/j.ijrobp.2012.07.235310.1016/j.ijrobp.2012.07.2353 ↗
76. Palma D et al (2010) Impact of Introducing Stereotactic Lung Radiotherapy for Elderly Patients With Stage I Non-Small-Cell Lung Cancer: A Population-Based Time-Trend Analysis. J Clin Oncol 28(35):5153–5159. https://doi.org/10.1200/jco.2010.30.073110.1200/jco.2010.30.0731 ↗
77. Palma DA, Senan S (2013) Improving Outcomes for High-Risk Patients With Early-Stage Non-Small-Cell Lung Cancer: Insights from Population-Based Data and the Role of Stereotactic Ablative Radiotherapy. Clin Lung Cancer 14(1):1–5. https://doi.org/10.1016/j.cllc.2012.06.00510.1016/j.cllc.2012.06.005 ↗
78. Facchinetti F et al (2019) Treatment of metastatic non-small cell lung cancer: 2018 guidelines of the Italian Association of Medical Oncology (AIOM). Tumori J 105:3–14. https://doi.org/10.1177/030089161985741810.1177/0300891619857418 ↗
79. Morrow PKH, Kim ES (2005) New biological agents in the treatment of advanced non-small cell lung cancer. Sem Respir Crit Care Med 26(3):323–332. https://doi.org/10.1055/s-2005-87199110.1055/s-2005-871991 ↗
80. Juan O, Popat S (2017) Treatment choice in epidermal growth factor receptor mutation-positive non-small cell lung carcinoma: latest evidence and clinical implications. Ther Adv Med Oncol 9(3):201–216. https://doi.org/10.1177/175883401668726210.1177/1758834016687262 ↗
81. Galvani E et al (2013) Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitors: Current Status and Future Perspectives in the Development of Novel Irreversible Inhibitors for the Treatment of Mutant Non-small Cell Lung Cancer. Curr Pharm Des 19(5):818–832. https://doi.org/10.2174/13816121380454722210.2174/138161213804547222 ↗
82. Zhou C et al (2011) Erlotinib versus chemotherapy as first-line treatment for patients with advanced EGFR mutation-positive non-small-cell lung cancer (OPTIMAL, CTONG-0802): a multicentre, open-label, randomised, phase 3 study. Lancet Oncol 12(8):735–742. https://doi.org/10.1016/s1470-2045(11)70184-x10.1016/s1470-2045(11)70184-x ↗
83. Zhou C et al (2015) Final overall survival results from a randomised, phase III study of erlotinib versus chemotherapy as first-line treatment of EGFR mutation-positive advanced non-small-cell lung cancer (OPTIMAL, CTONG-0802). Ann Oncol 26(9):1877–1883. https://doi.org/10.1093/annonc/mdv27610.1093/annonc/mdv276 ↗
84. Anagnostou VK, Brahmer JR (2015) Cancer Immunotherapy: A Future Paradigm Shift in the Treatment of Non-Small Cell Lung Cancer. Clin Cancer Res 21(5):976–984. https://doi.org/10.1158/1078-0432.Ccr-14-118710.1158/1078-0432.Ccr-14-1187 ↗
85. Brahmer JR, Pardoll DM (2013) Immune Checkpoint Inhibitors: Making Immunotherapy a Reality for the Treatment of Lung Cancer. Cancer Immunol Res 1(2):85–91. https://doi.org/10.1158/2326-6066.Cir-13-007810.1158/2326-6066.Cir-13-0078 ↗
86. Sundar R et al (2014) Immunotherapy in the treatment of non-small cell lung cancer. Lung Cancer 85(2):101–109. https://doi.org/10.1016/j.lungcan.2014.05.00510.1016/j.lungcan.2014.05.005 ↗
87. Khan M et al (2018) Comparative analysis of immune checkpoint inhibitors and chemotherapy in the treatment of advanced non-small cell lung cancer: a meta-analysis of randomized controlled trials. Medicine 97(33). https://doi.org/10.1097/md.000000000001193610.1097/md.0000000000011936 ↗
88. Levra MG et al (2020) Immunotherapy rechallenge after nivolumab treatment in advanced non small cell lung cancer in the real-world setting: A national data base analysis. Lung Cancer 140:99–106. https://doi.org/10.1016/j.lungcan.2019.12.01710.1016/j.lungcan.2019.12.017 ↗
89. Alvarez JGB et al (2015) Advances in immunotherapy for treatment of lung cancer. Cancer Biol Med 12(3):209–222. https://doi.org/10.7497/j.issn.2095-3941.2015.003210.7497/j.issn.2095-3941.2015.0032 ↗
90. Frederickson AM et al (2019) Pembrolizumab plus chemotherapy for first-line treatment of metastatic nonsquamous non-small-cell lung cancer: a network meta-analysis. Immunotherapy 11(5):407–428. https://doi.org/10.2217/imt-2018-019310.2217/imt-2018-0193 ↗
91. Martinez P et al (2019) Immunotherapy for the First-Line Treatment of Patients with Metastatic Non-Small Cell Lung Cancer. Clin Cancer Res 25(9):2691–2698. https://doi.org/10.1158/1078-0432.Ccr-18-390410.1158/1078-0432.Ccr-18-3904 ↗
92. Corrales L et al (2018) Immunotherapy in lung cancer: a new age in cancer treatment. In: Naing A, Hajjar J (eds) Immunotherapy, 2nd edn, pp 65–95. https://doi.org/10.1007/978-3-030-02505-2_310.1007/978-3-030-02505-2_3 ↗
93. Qi F et al (2015) The advantages of using traditional Chinese medicine as an adjunctive therapy in the whole course of cancer treatment instead of only terminal stage of cancer. Biosci Trends 9(1):16–34. https://doi.org/10.5582/bst.2015.0101910.5582/bst.2015.01019 ↗
94. Onugha OI, Lee JM (2016) Surgical Treatment of Lung Cancer. Cancer Treat Res 170:77–104. https://doi.org/10.1007/978-3-319-40389-2_410.1007/978-3-319-40389-2_4 ↗
95. Hammerschmidt S, Wirtz H (2009) Lung cancer: Current diagnosis and treatment. Dtsch Arztebl Int 106(49):809–U823. https://doi.org/10.3238/arztebl.2009.080910.3238/arztebl.2009.0809 ↗
96. Yang H et al (2018) Analysis of unexpected small cell lung cancer following surgery as the primary treatment. J Cancer Res Clin Oncol 144(12):2441–2447. https://doi.org/10.1007/s00432-018-2766-610.1007/s00432-018-2766-6 ↗
97. Stokes WA et al (2018) Post-treatment mortality after surgery and stereotactic body radiotherapy for early-stage non-small-cell lung cancer. J Clin Oncol 36(7):642-+. https://doi.org/10.1200/jco.2017.75.653610.1200/jco.2017.75.6536 ↗
98. Brunelli A et al (2009) The European Respiratory Society and European Society of Thoracic Surgeons clinical guidelines for evaluating fitness for radical treatment (surgery and chemoradiotherapy) in patients with lung cancer. Eur J Cardiothorac Surg 36(1):181–184. https://doi.org/10.1016/j.ejcts.2009.04.02210.1016/j.ejcts.2009.04.022 ↗
99. Yang B et al (2014) Preferences for treatment of lobectomy in Chinese lung cancer patients: video-assisted thoracoscopic surgery or open thoracotomy? Patient Prefer Adherence 8:1393–1397. https://doi.org/10.2147/ppa.S6842610.2147/ppa.S68426 ↗
100. Yao Y et al (2018) Efficacy of thoracoscopic surgery in the treatment of lung cancer in the perioperative period and its effects on serum D-dimer. Oncol Lett 15(4):4397–4403. https://doi.org/10.3892/ol.2018.783910.3892/ol.2018.7839 ↗