TURKISH JOURNAL OF ONCOLOGY 2010 , Vol 25 , Num 2
A brief look at the evaluation of the development and effectiveness of cytotoxic chemotherapy in advanced non-small-cell lung cancer
Sernaz UZUNOĞLU,1 Hakan KARAGÖL,1 Özgür TANRIVERDİ,2 İrfan ÇİÇİN,1 Murat ÇALOĞLU,3 Zafer KOÇAK3
1Trakya Üniversitesi Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Tıbbi Onkoloji Bilim Dalı, Edirne
2Adnan Menderes Üniversitesi Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Tıbbi Onkoloji Bilim Dalı, Aydın
3Trakya Üniversitesi Tıp Fakültesi, Radyasyon Onkolojisi Anabilim Dalı, Edirne
Systemic chemotherapy for patients with advanced-stage nonsmall- cell lung cancer prolongs survival and palliates symptoms, when compared with the best supportive care alone. However, the results of standard cytotoxic regimens are not yet satisfactory. As the effectiveness in the treatment of refractory disease is low, it still remains critical to better understand and develop new treatment options for refractory disease. Within the second-line therapeutic approaches, there are new chemotherapeutic schemes as well as molecular-targeted treatment options that block the epidermal growth factor receptor or angiogenesis. Future research efforts should focus on identifying prognostic and predictive markers of benefit not only for the standard cytotoxic agents, but also for the new targetdriven agents currently. Keywords : Non-small-cell lung cancer; systemic chemotherapy; new generation agents