AI Article Synopsis

  • There is a significant need for better staging methods for non-small-cell lung cancer (NSCLC) to address high rates of recurrence and mortality after surgery, particularly due to undetectable metastases.
  • A validated 14-gene quantitative PCR expression profile has shown to be more effective in identifying high-risk patients for 5-year mortality compared to traditional staging methods.
  • Recent studies indicate that using this gene expression assay can improve disease-free survival when it informs adjuvant chemotherapy choices for early-stage NSCLC patients.

Article Abstract

There remains a critical need for improved staging of non-small-cell lung cancer, as recurrence and mortality due to undetectable metastases at the time of surgery remain high even after complete resection of tumors currently categorized as 'early stage.' A 14-gene quantitative PCR-based expression profile has been extensively validated to better identify patients at high-risk of 5-year mortality after surgical resection than conventional staging - mortality that almost always results from previously undetectable metastases. Furthermore, prospective studies now suggest a predictive benefit in disease-free survival when the assay is used to guide adjuvant chemotherapy decisions in early-stage non-small-cell lung cancer patients.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9039775PMC
http://dx.doi.org/10.2217/fon-2021-0517DOI Listing

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