PMID- 37969291 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231117 IS - 2072-1439 (Print) IS - 2077-6624 (Electronic) IS - 2072-1439 (Linking) VI - 15 IP - 10 DP - 2023 Oct 31 TI - Neoadjuvant immunotherapy combined with chemotherapy in the treatment of stage III lung squamous cell carcinoma: a retrospective cohort study. PG - 5658-5668 LID - 10.21037/jtd-23-1175 [doi] AB - BACKGROUND: Neoadjuvant immunochemotherapy has been proven to be a successful therapeutic strategy for patients with locally advanced non-small cell lung cancer (NSCLC). Nevertheless, there is a paucity of information regarding surgical feasibility and safety as well as tumor response. The present study aimed to investigate the therapeutic and surgical outcomes for patients with stage III lung squamous cell carcinoma (LSCC). METHODS: Patients with stage III potentially resectable LSCC treated with neoadjuvant immunochemotherapy at The First Affiliated Hospital of Ningbo University between March 2020 and June 2022 were retrospectively included. Oncologic outcomes and intraoperative and postoperative variables were assessed. RESULTS: A total of 17 locally advanced LSCC patients were included in the study. Patients in stages IIIA and IIIB were represented by 10 (58.8%) and 7 (41.2%) cases, respectively. A minimally invasive procedure was successfully completed in 12 out of 17 cases (70.6%). A total of 10 patients (58.8%) had standard lobectomies performed, 1 (5.9%) had a bilobectomy, 3 (17.6%) had pneumonectomies, and 1 (5.9%) had a wedge resection. A total of 7 patients (41.2%) experienced postoperative complications, and there were no 30- or 90-day mortalities. The 2-year disease-free survival (DFS) and overall survival (OS) rates were 76.6% and 82.5%, respectively. The rate of major pathological response (MPR) was 70.6%. CONCLUSIONS: Lung resection after immunochemotherapy for potentially resectable stage III LSCC is feasible and safe. This treatment strategy results in a significant pathologic response and promising rates of OS at 2 years. CI - 2023 Journal of Thoracic Disease. All rights reserved. FAU - Guo, Jing AU - Guo J AD - Department of Thoracic Surgery, The First Affiliated Hospital of Ningbo University, Ningbo, China. FAU - Lin, Shuai-Dong AU - Lin SD AD - Department of Thoracic Surgery, The First Affiliated Hospital of Ningbo University, Ningbo, China. FAU - Minervini, Fabrizio AU - Minervini F AD - Department of Thoracic Surgery, Cantonal Hospital Lucerne, Lucerne, Switzerland. FAU - Geraci, Travis C AU - Geraci TC AD - Division of Thoracic Surgery, Department of Cardiothoracic Surgery, New York University Langone Health, New York, NY, USA. FAU - Kim, Jae Jun AU - Kim JJ AD - Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea, College of Medicine, Seoul, Republic of Korea. FAU - Tong, Chang-Yong AU - Tong CY AD - Department of Thoracic Surgery, The First Affiliated Hospital of Ningbo University, Ningbo, China. FAU - Li, Xin-Jian AU - Li XJ AD - Department of Thoracic Surgery, The First Affiliated Hospital of Ningbo University, Ningbo, China. FAU - Cao, Chao AU - Cao C AD - Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Ningbo University, Ningbo, China. LA - eng PT - Journal Article DEP - 20230912 PL - China TA - J Thorac Dis JT - Journal of thoracic disease JID - 101533916 PMC - PMC10636463 OTO - NOTNLM OT - Non-small cell lung cancer (NSCLC) OT - immunochemotherapy OT - lung squamous cell carcinoma (LSCC) OT - neoadjuvant therapy OT - survival COIS- Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://jtd.amegroups.com/article/view/10.21037/jtd-23-1175/coif). The authors have no conflicts of interest to declare. EDAT- 2023/11/16 06:45 MHDA- 2023/11/16 06:46 PMCR- 2023/10/31 CRDT- 2023/11/16 04:19 PHST- 2023/07/27 00:00 [received] PHST- 2023/08/31 00:00 [accepted] PHST- 2023/11/16 06:46 [medline] PHST- 2023/11/16 06:45 [pubmed] PHST- 2023/11/16 04:19 [entrez] PHST- 2023/10/31 00:00 [pmc-release] AID - jtd-15-10-5658 [pii] AID - 10.21037/jtd-23-1175 [doi] PST - ppublish SO - J Thorac Dis. 2023 Oct 31;15(10):5658-5668. doi: 10.21037/jtd-23-1175. Epub 2023 Sep 12.