PMID- 32062314 OWN - NLM STAT- MEDLINE DCOM- 20200406 LR - 20200408 IS - 1879-0461 (Electronic) IS - 1040-8428 (Linking) VI - 148 DP - 2020 Apr TI - The use of radiation therapy for oligoprogressive/oligopersistent oncogene-driven non small cell lung cancer: State of the art. PG - 102894 LID - S1040-8428(20)30032-9 [pii] LID - 10.1016/j.critrevonc.2020.102894 [doi] AB - Oncogene-driven non small cell lung cancer (NSCLC) is a distinct entity in thoracic oncology. The availability of effective target therapies, like EGFR inhibitors or ALK inhibitors, have revolutionized the prognosis of these patients. However, despite an initial response in the majority of patients, drug resistance ultimately occurs. In some cases, this resistance develops in few clonal cells (oligoprogression), so that a local ablation of these resistant deposits could allow to maintain the same systemic therapy and possibly to prolong patients' survival. For these purposes, stereotactic body radiation therapy (SBRT) is an ideal local ablative treatment, because it is effective, non invasive and with limited side effects. In this review, we aim to analyze available clinical data to verify whether SBRT can allow these patients to continue with existing target therapy longer, delay the switch to other systemic therapies and improve their outcome modifying the natural history of the disease. CI - Copyright (c) 2020 Elsevier B.V. All rights reserved. FAU - Franceschini, D AU - Franceschini D AD - Radiotherapy and Radiosurgery Department, Humanitas Clinical and Research Centre, Rozzano, Milan, Italy. Electronic address: davide.franceschini@humanitas.it. FAU - De Rose, F AU - De Rose F AD - Radiotherapy and Radiosurgery Department, Humanitas Clinical and Research Centre, Rozzano, Milan, Italy. FAU - Cozzi, S AU - Cozzi S AD - Radiotherapy and Radiosurgery Department, Humanitas Clinical and Research Centre, Rozzano, Milan, Italy. FAU - Franzese, C AU - Franzese C AD - Radiotherapy and Radiosurgery Department, Humanitas Clinical and Research Centre, Rozzano, Milan, Italy. FAU - Rossi, S AU - Rossi S AD - Department of Oncology and Hematology, Humanitas Clinical and Research Center, Rozzano, Milan, Italy. FAU - Finocchiaro, G AU - Finocchiaro G AD - Department of Oncology and Hematology, Humanitas Clinical and Research Center, Rozzano, Milan, Italy. FAU - Toschi, L AU - Toschi L AD - Department of Oncology and Hematology, Humanitas Clinical and Research Center, Rozzano, Milan, Italy. FAU - Santoro, A AU - Santoro A AD - Department of Oncology and Hematology, Humanitas Clinical and Research Center, Rozzano, Milan, Italy; Department of Biomedical Sciences, Humanitas University, Rozzano, Milano, Italy. FAU - Scorsetti, M AU - Scorsetti M AD - Radiotherapy and Radiosurgery Department, Humanitas Clinical and Research Centre, Rozzano, Milan, Italy; Department of Biomedical Sciences, Humanitas University, Rozzano, Milano, Italy. LA - eng PT - Journal Article PT - Review DEP - 20200205 PL - Netherlands TA - Crit Rev Oncol Hematol JT - Critical reviews in oncology/hematology JID - 8916049 RN - 0 (Protein Kinase Inhibitors) SB - IM MH - Carcinoma, Non-Small-Cell Lung/pathology/*radiotherapy MH - Catheter Ablation MH - Disease Progression MH - Humans MH - Lung Neoplasms/pathology/*radiotherapy MH - Neoplasm Metastasis MH - Neoplasm Recurrence, Local MH - Neoplasm Staging MH - Oncogenes MH - Protein Kinase Inhibitors MH - *Radiosurgery MH - Treatment Outcome OTO - NOTNLM OT - Lung cancer OT - Oligopersistence OT - Oligoprogression OT - Oncogene-driven OT - Radiotherapy EDAT- 2020/02/18 06:00 MHDA- 2020/04/09 06:00 CRDT- 2020/02/17 06:00 PHST- 2019/07/22 00:00 [received] PHST- 2020/01/14 00:00 [revised] PHST- 2020/01/29 00:00 [accepted] PHST- 2020/02/18 06:00 [pubmed] PHST- 2020/04/09 06:00 [medline] PHST- 2020/02/17 06:00 [entrez] AID - S1040-8428(20)30032-9 [pii] AID - 10.1016/j.critrevonc.2020.102894 [doi] PST - ppublish SO - Crit Rev Oncol Hematol. 2020 Apr;148:102894. doi: 10.1016/j.critrevonc.2020.102894. Epub 2020 Feb 5.