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Oligometastasis and local ablation in the era of systemic targeted and immunotherapy
by
Rosario Mazzola
, Maria Tolia
, Filippo Alongi
, Marta Scorsetti
, Andrea Riccardo Filippi
, Barbara Alicja Jereczek-Fossa
, Davide Franceschini
, Giuseppe Minniti
, Stefanie Corradini
, Slavisa Tubin
, Stefano Arcangeli
, Andrea Lancia
in
Ablation
/ Biomedical and Life Sciences
/ Biomedicine
/ Cancer metastasis
/ Cancer Research
/ Care and treatment
/ Clinical Radiation Oncology
/ Combined Modality Therapy
/ Disease
/ Drug dependence
/ Drug dosages
/ Drugs
/ Humans
/ Imaging
/ Immunology
/ Immunotherapy
/ immunotherapy; metastases-directed therapy; oligometastasis; target therapy
/ Kidney cancer
/ Lung cancer
/ Medical physics. Medical radiology. Nuclear medicine
/ Melanoma
/ Metastases
/ Metastases-directed therapy
/ Metastasis
/ Methods
/ Neoplasm Metastasis
/ Neoplasm Metastasis - drug therapy
/ Neoplasm Metastasis - pathology
/ Neoplasm Metastasis - radiotherapy
/ Neoplasms. Tumors. Oncology. Including cancer and carcinogens
/ Non-small cell lung carcinoma
/ Oligometastasi
/ Oligometastasis
/ Oncology
/ Patient outcomes
/ Patient Selection
/ Potential fields
/ R895-920
/ Radiation therapy
/ Radiology
/ Radiosurgery
/ Radiotherapy
/ Radiotherapy Dosage
/ RC254-282
/ Review
/ Target therapy
/ Treatment Outcome
/ Tumor Burden
2020
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Oligometastasis and local ablation in the era of systemic targeted and immunotherapy
by
Rosario Mazzola
, Maria Tolia
, Filippo Alongi
, Marta Scorsetti
, Andrea Riccardo Filippi
, Barbara Alicja Jereczek-Fossa
, Davide Franceschini
, Giuseppe Minniti
, Stefanie Corradini
, Slavisa Tubin
, Stefano Arcangeli
, Andrea Lancia
in
Ablation
/ Biomedical and Life Sciences
/ Biomedicine
/ Cancer metastasis
/ Cancer Research
/ Care and treatment
/ Clinical Radiation Oncology
/ Combined Modality Therapy
/ Disease
/ Drug dependence
/ Drug dosages
/ Drugs
/ Humans
/ Imaging
/ Immunology
/ Immunotherapy
/ immunotherapy; metastases-directed therapy; oligometastasis; target therapy
/ Kidney cancer
/ Lung cancer
/ Medical physics. Medical radiology. Nuclear medicine
/ Melanoma
/ Metastases
/ Metastases-directed therapy
/ Metastasis
/ Methods
/ Neoplasm Metastasis
/ Neoplasm Metastasis - drug therapy
/ Neoplasm Metastasis - pathology
/ Neoplasm Metastasis - radiotherapy
/ Neoplasms. Tumors. Oncology. Including cancer and carcinogens
/ Non-small cell lung carcinoma
/ Oligometastasi
/ Oligometastasis
/ Oncology
/ Patient outcomes
/ Patient Selection
/ Potential fields
/ R895-920
/ Radiation therapy
/ Radiology
/ Radiosurgery
/ Radiotherapy
/ Radiotherapy Dosage
/ RC254-282
/ Review
/ Target therapy
/ Treatment Outcome
/ Tumor Burden
2020
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Oligometastasis and local ablation in the era of systemic targeted and immunotherapy
by
Rosario Mazzola
, Maria Tolia
, Filippo Alongi
, Marta Scorsetti
, Andrea Riccardo Filippi
, Barbara Alicja Jereczek-Fossa
, Davide Franceschini
, Giuseppe Minniti
, Stefanie Corradini
, Slavisa Tubin
, Stefano Arcangeli
, Andrea Lancia
in
Ablation
/ Biomedical and Life Sciences
/ Biomedicine
/ Cancer metastasis
/ Cancer Research
/ Care and treatment
/ Clinical Radiation Oncology
/ Combined Modality Therapy
/ Disease
/ Drug dependence
/ Drug dosages
/ Drugs
/ Humans
/ Imaging
/ Immunology
/ Immunotherapy
/ immunotherapy; metastases-directed therapy; oligometastasis; target therapy
/ Kidney cancer
/ Lung cancer
/ Medical physics. Medical radiology. Nuclear medicine
/ Melanoma
/ Metastases
/ Metastases-directed therapy
/ Metastasis
/ Methods
/ Neoplasm Metastasis
/ Neoplasm Metastasis - drug therapy
/ Neoplasm Metastasis - pathology
/ Neoplasm Metastasis - radiotherapy
/ Neoplasms. Tumors. Oncology. Including cancer and carcinogens
/ Non-small cell lung carcinoma
/ Oligometastasi
/ Oligometastasis
/ Oncology
/ Patient outcomes
/ Patient Selection
/ Potential fields
/ R895-920
/ Radiation therapy
/ Radiology
/ Radiosurgery
/ Radiotherapy
/ Radiotherapy Dosage
/ RC254-282
/ Review
/ Target therapy
/ Treatment Outcome
/ Tumor Burden
2020
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Oligometastasis and local ablation in the era of systemic targeted and immunotherapy
Journal Article
Oligometastasis and local ablation in the era of systemic targeted and immunotherapy
2020
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Overview
Background
During these last years, new agents have dramatically improved the survival of the metastatic patients. Oligometastases represent a continuous field of interest in which the integration of metastases-directed therapy and drugs could further improve the oncologic outcomes.
Herein a narrative review is performed regarding the main rationale in combining immunotherapy and target therapies with SBRT looking at the available clinical data in case of oligometastatic NSCLC, Melanoma and Kidney cancer.
Material and method
Narrative Review regarding retrospective and prospective studies published between January 2009 to November 2019 with at least 20 patients analyzed.
Results
Concerning the combination between SBRT and Immunotherapy, the correct sequence of remains uncertain, and seems to be drug-dependent. The optimal patients’ selection is crucial to expect substantial benefits to SBRT/Immunotherapy combination and, among several factors. A potential field of interest is represented by the so-called oligoprogressed disease, in which SBRT could improve the long-term efficacy of the existing target therapy.
Conclusions
A low tumor burden seems to be the most relevant, thus making the oligometastatic disease represent the ideal setting for the use of combination therapies with immunological drugs.
Publisher
Springer Science and Business Media LLC,BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
/ Biomedical and Life Sciences
/ Disease
/ Drugs
/ Humans
/ Imaging
/ immunotherapy; metastases-directed therapy; oligometastasis; target therapy
/ Medical physics. Medical radiology. Nuclear medicine
/ Melanoma
/ Methods
/ Neoplasm Metastasis - drug therapy
/ Neoplasm Metastasis - pathology
/ Neoplasm Metastasis - radiotherapy
/ Neoplasms. Tumors. Oncology. Including cancer and carcinogens
/ Non-small cell lung carcinoma
/ Oncology
/ R895-920
/ Review
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