Combination of Radiotherapy and Immunotherapy for Unresectable Stage III Non-small Cell Lung Cancer: Clinical Progress Advances and Future Directions.

Stage III non-small cell lung cancer (NSCLC) accounts for approximately 30% of newly diagnosed NSCLC cases, and the vast majority of these patients present with unresectable disease. Its unresectable nature makes definitive chemoradiotherapy the cornerstone of treatment. In recent years, with immune...

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Publicado en:Chinese Journal of Lung Cancer Vol. 28; no. 11; pp. 866 - 875
Autores principales: TAN, Zuoyuan, ZHONG, Yuling, WANG, Jingyi, WU, Lin
Formato: review tables/charts Journal Article
Publicado: Chinese Journal of Lung Cancer Nov2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2025
      vid: 28
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      pub: Chinese Journal of Lung Cancer
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        atl: Combination of Radiotherapy and Immunotherapy for Unresectable Stage III Non-small Cell Lung Cancer: Clinical Progress Advances and Future Directions.
      aug:
        au:
          TAN, Zuoyuan
          ZHONG, Yuling
          WANG, Jingyi
          WU, Lin
        affil: Graduate Collaborative Training Base of Hunan Cancer Hospital, University of South China, Hengyang Medical School, Hengyang 421001, China
      sug:
        subj:
          Carcinoma, Non-Small-Cell Lung Radiotherapy
          Neoplasm Staging
          Immunotherapy
          Combined Modality Therapy
          Radiotherapy
          Immune Checkpoint Inhibitors
          Tumor Markers, Biological
          Programmed Cell Death Ligand 1
          DNA
          RNA
      ab: Stage III non-small cell lung cancer (NSCLC) accounts for approximately 30% of newly diagnosed NSCLC cases, and the vast majority of these patients present with unresectable disease. Its unresectable nature makes definitive chemoradiotherapy the cornerstone of treatment. In recent years, with immune checkpoint inhibitors (ICIs) becoming a major research focus in lung cancer, increasing evidence demonstrates that the combination of radiotherapy and immunotherapy (iRT) can significantly enhance antitumor efficacy through synergistic mechanisms. The groundbreaking results of the landmark PACIFIC trial further established consolidation immunotherapy following concurrent chemoradiotherapy as the standard of care. However, controversies persist regarding optimal radiotherapy strategies, timing of immune intervention, management of adverse reactions, and exploration of biomarkers. This review aims to systematically elucidate the synergistic mechanisms of iRT, summarize clinical trial advances under different iRT treatment modalities (concurrent, consolidation and induction), and provide an in-depth analysis of key issues in current clinical practice along with future research directions.
      pubtype: Academic Journal
      doctype:
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: Chinese
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