Development of brain metastases in non-small-cell lung cancer: high-risk features

Autor: Nolan Winslow, Jacqueline Boyle, William Miller, Yanzhi Wang, Francois Geoffroy, Andrew J Tsung
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: CNS Oncology, Vol 13, Iss 1 (2024)
Druh dokumentu: article
ISSN: 20450907
2045-0915
2045-0907
DOI: 10.1080/20450907.2024.2395804
Popis: Aim: Brain metastases (BM) are a common site of disease progression and treatment failure in non-small-cell lung cancer (NSCLC) and can be identified in up to 30–50% of patients. Although they are common, there is no standardized screening protocol for development of BM in NSCLC. Multiple clinical variables predict increased BM occurrence, and, when present, should be used to initiate screening MRI.Materials & methods: We performed a single center retrospective review of NSCLC patients, examining BM development and overall survival. Available clinical, radiographic and molecular data were reviewed for association with BM and overall survival. A predictive model for BM development was created for multivariate analysis.Results: Risk factors for new BM development in NSCLC included younger age, larger primary lung tumor, Karnofsky performance score (KPS)
Databáze: Directory of Open Access Journals