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Chinese Journal of Geriatrics Research(Electronic Edition) ›› 2021, Vol. 08 ›› Issue (04): 48-53. doi: 10.3877/cma.j.issn.2095-8757.2021.04.012

• Review • Previous Articles    

Progress on clinical treatment of non-small cell lung cancer in elderly patients

Rongxue Xing1, Li Sun2, Yingxuan Tian2,()   

  1. 1. Xi’an Medical University, Xi’an 710068, China
    2. Department of Geriatric Respiratory, Shanxi Provincial People’s Hospital, Xi’an 710068, China
  • Received:2021-04-26 Online:2021-11-28 Published:2022-04-19
  • Contact: Yingxuan Tian

Abstract:

Lung cancer is a solid tumor with high morbidity and mortality. Non-small cell lung cancer (NSCLC) is the most common type of lung cancer, and elderly patients account for a high proportion of NSCLC patients. Treatment of NSCLC in elderly patients has always been a challenge in clinic. However, in recent years, the treatment of NSCLC has made rapid progress. Many new drugs and new therapies have provided effective clinical solutions for elderly patients. For elderly patients with early NSCLC, video-assisted thoracic surgery is a better choice than traditional open-chest surgery, which can achieve radical surgery and effectively reduce surgical complications and improve prognosis. For patients who do not have surgical indications, targeted and immunotherapy are new choices of preoperative/postoperative adjuvant therapy in addition to adjuvant chemotherapy, and even patients with advanced NSCLC have a variety of regimens such as targeted therapy, immunotherapy, chemotherapy, radiotherapy and combination therapy, so that the prognosis of elderly NSCLC patients can be effectively improved and individualized precision treatment can be realized. This article reviews the progress on the treatment of NSCLC in elderly patients, so as to provide reference for clinical treatment.

Key words: Non-small cell lung cancer, Aged, Surgical treatment, Neoadjuvant therapy, Chemotherapy, Radiotherapy, Targeted therapy, Immunotherapy

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