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    Background: Historically, limited stage Small Cell Lung Cancer (SCLC) has been treated with concurrent chemoradiation (CRT). While current NCCN guidelines recommend consideration of lobectomy in node-negative cT1-T2 SCLC, data regarding the role of surgery in very limited SCLC is lacking.Methods: Data from the National VA Cancer Cube were compiled. A total of 1,028 patients with pathologically…

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    • Retrospective report @ClinicalLung from the VA system showing better outcomes with surgery than CRT for pts with stage I #SCLC. But major of selection bias to even consider surgery. And need to know how many recurred shortly after surgery and went to CRT? https://t.co/mXwKiYaMIo

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    Malignant pleural mesothelioma (MPM) is a disease for which there remains an unmet need for better therapeutic options. Nintedanib is an oral multikinase inhibitor impacting VEGF, FGF, PDGFR, and other kinase activity such as TGFß signaling pathways. We conducted a phase II trial of nintedanib in patients with recurrent MPM.

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    • Phase II study of nintedanib in patients with relapsed mesothelioma @ClinicalLung. In 20 pts, no responses. mPFS 1.8m and mOS 4.2m. Reasonably well tolerated but no clear signal here. #MPM https://t.co/ZBQpEbJCmn

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    Liquid biopsy (LB) is a clinically utilized to detect minute amounts of genetic material or protein shed by cancer cells, most commonly cell free DNA (cfDNA), as a non-invasive precision oncology tool to assess genomic alterations to guide cancer therapy or to detect the persistence of tumor cells after therapy. LB is also being developed as a multi-cancer screening assay1. Although blood-based…

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    • Nice review @ClinicalLung of liquid biopsy as a lung cancer screening tool. While low dose CT screening is our best tool for early detection and reduces lung cancer mortality, in the future, blood based testing will hopefully be a powerful complement. https://t.co/A2ktZ7KwHR

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    Anaplastic lymphoma kinase (ALK) genetic alterations are commonly associated with and screened for in non-small cell lung carcinoma. However, the incidence and significance of ALK mutations in neuroendocrine lung tumors are poorly defined. This is a case of a 45-year-old female who presented with confusion, fall, and weakness. Investigation showed primary lung mass, two intracranial lesions, and…

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    • Case @ClinicalLung of a patient with high-grade neuroendocrine lung cancer (mixed SCLC and LCNE) with an #ALK fusion. Treated with alectinib for 5+ years. In my practice, neuroendocrine tumors are less responsive but encouraging to see a good outcome. https://t.co/WPuTWXsHKj

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    The American Cancer Society (ACS) estimates that lung cancer will account for 236,740 new cases and 130,180 deaths for the year 2022, making it the most common cause of cancer death in the United States.1 One of the main reasons for the poor outcomes in lung cancer is the high percentage of patients with advanced stage at diagnosis, for which the treatment is mostly palliative. Nevertheless, the…

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    • Incidence of stage I lung cancer increased between 2010-2017 #LCSM https://t.co/iEKG6cAK5S

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    MicroabstractIt is unknown what treatment goals patients and oncologists have before starting systemic treatment. In total, 266 patients with metastatic lung cancer and their prescribing oncologists (n = 23) were included. Patients and oncologist set quality of life, life prolongation, decreased tumor, and cure as treatment goals, but concordances of treatment goals were low. Clear communication…

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    • In a recent study evaluating goals of patients with #metastaticlungcancer, both QOL and life prolongation were reported first among treatment goals (45%), followed by decreasing tumor size (39%) and cure (19%) #lungcancer #oncology 8/10 Link: https://t.co/lG5nvSEx1P https://t.co/w114xd36HF