Central Nervous System Metastases in Lung Cancer Patients: From Prevention to Diagnosis and Treatment (Record no. 79290)

MARC details
000 -LEADER
fixed length control field 03929naaaa2200361uu 4500
001 - CONTROL NUMBER
control field https://directory.doabooks.org/handle/20.500.12854/42893
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20220220094227.0
020 ## - INTERNATIONAL STANDARD BOOK NUMBER
International Standard Book Number 978-2-88945-707-6
020 ## - INTERNATIONAL STANDARD BOOK NUMBER
International Standard Book Number 9782889457076
024 7# - OTHER STANDARD IDENTIFIER
Standard number or code 10.3389/978-2-88945-707-6
Terms of availability doi
041 0# - LANGUAGE CODE
Language code of text/sound track or separate title English
042 ## - AUTHENTICATION CODE
Authentication code dc
100 1# - MAIN ENTRY--PERSONAL NAME
Personal name Deepa S. Subramaniam
Relationship auth
245 10 - TITLE STATEMENT
Title Central Nervous System Metastases in Lung Cancer Patients: From Prevention to Diagnosis and Treatment
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Name of publisher, distributor, etc. Frontiers Media SA
Date of publication, distribution, etc. 2019
300 ## - PHYSICAL DESCRIPTION
Extent 1 electronic resource (94 p.)
506 0# - RESTRICTIONS ON ACCESS NOTE
Terms governing access Open Access
Source of term star
Standardized terminology for access restriction Unrestricted online access
520 ## - SUMMARY, ETC.
Summary, etc. Approximately 40% of lung cancer patients will develop central nervous system (CNS) metastases during the course of their disease. Most of these are brain metastases, but up to 10% will develop leptomeningeal metastases. Known risk factors for CNS metastases development are small cell lung cancer (SCLC), adenocarcinoma histology, epidermal growth factor receptor (EGFR) mutant or anaplastic lymphoma kinase (ALK) rearranged lung cancer, advanced nodal status, tumor stage and younger age. CNS metastases can have a negative impact on quality of life (QoL) and overall survival (OS). The proportion of lung cancer patients diagnosed with CNS metastases has increased over the years due to increased use of brain imaging as part of initial cancer staging, advances in imaging techniques and better systemic disease control. Post contrast gadolinium enhanced magnetic resonance imaging (gd-MRI) is preferred, however when this is contra-indicated a contrast enhanced computed tomography (CE-CT) is mentioned as an alternative option. When CNS metastases are diagnosed, local treatment options consist of radiotherapy (stereotactic or whole brain) and surgery. Local treatment can be complicated by symptomatic radiation necrosis for which no high level evidence based treatment exists. Moreover, differential diagnosis with metastasis progression is difficult. Systemic treatment options have expanded over the last years. Until recently, chemotherapy was the only treatment option with a poor penetration in the CNS. Angiogenesis inhibitors are promising in the treatment of primary CNS tumors as well as radiation necrosis but clinical trials of anti-angiogenic agents in NSCLC have largely excluded patients with CNS metastases. Furthermore, research has also focused on methods to prevent development of CNS disease, for example with prophylactic cranial irradiation. Recently, checkpoint inhibitors have become available for NSCLC patients, and tyrosine kinase inhibitors (TKIs) have improved prognosis significantly in those with a druggable driver mutation. Newer TKIs are often designed to have better CNS penetration compared to first-generation TKIs. Despite advances in treatment options CNS metastases remain a problem in lung cancer and cause morbidity and mortality. This Research Topic provides an extensive resource of articles describing advances in CNS metastases management in lung cancer patients, from prevention to diagnosis and treatment.
540 ## - TERMS GOVERNING USE AND REPRODUCTION NOTE
Terms governing use and reproduction Creative Commons
Use and reproduction rights https://creativecommons.org/licenses/by/4.0/
Source of term cc
-- https://creativecommons.org/licenses/by/4.0/
546 ## - LANGUAGE NOTE
Language note English
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Uncontrolled term lung cancer
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Uncontrolled term driver mutations
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Uncontrolled term treatment
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Uncontrolled term brain metastases
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Uncontrolled term leptomeningeal metastases
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Uncontrolled term cranial radiation
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Uncontrolled term prediction
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Uncontrolled term diagnosis
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Lizza E.L. Hendriks
Relationship auth
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Anne-Marie C. Dingemans
Relationship auth
856 40 - ELECTRONIC LOCATION AND ACCESS
Host name www.oapen.org
Uniform Resource Identifier <a href="https://www.frontiersin.org/research-topics/6066/central-nervous-system-metastases-in-lung-cancer-patients-from-prevention-to-diagnosis-and-treatment">https://www.frontiersin.org/research-topics/6066/central-nervous-system-metastases-in-lung-cancer-patients-from-prevention-to-diagnosis-and-treatment</a>
Access status 0
Public note DOAB: download the publication
856 40 - ELECTRONIC LOCATION AND ACCESS
Host name www.oapen.org
Uniform Resource Identifier <a href="https://directory.doabooks.org/handle/20.500.12854/42893">https://directory.doabooks.org/handle/20.500.12854/42893</a>
Access status 0
Public note DOAB: description of the publication

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