Tratamiento del Cáncer de Pulmón de Células No Pequeñas (CPCNP) Recurrente o Metastásico (CPCNP): 2do Consenso Nacional de la Sociedad Panameña de Oncología (SPO). (Mesa 5)

Erik Araúz, J Moreno, C Martin, R Escobar, E Chérigo, K Britton, A Crismatt

Resumen


Resumen
Para el manejo de los pacientes con CPCNP recurrente o avanzado, se debe tomar en consideración varios parámetros tales como; el tipo histológico, la presencia de biomarcadores, la edad, el estado funcional, las comorbilidades y las preferencias del paciente. El escenario óptimo de manejo para estos pacientes debe ser dentro de una unidad de tumores torácicos con una discusión multidisciplinaria que permita recomendar pruebas diagnósticas adicionales y evaluar el mejor tratamiento a seguir[1].

Todos los pacientes con estadios clínicos IV o enfermedad recurrente, y con adecuado estado funcional (ECOG 0-2, De las siglas en inglés “Eastern Cooperative Oncology Group”), deben recibir terapia sistémica paliativa con el objetivo de mejorar la supervivencia global (SG), la calidad de vida y controlar los síntomas asociados a la enfermedad (Tabla 1). La elección de la primera y posteriores líneas de tratamiento sistémico, va a depender de: el estado funcional del paciente, la disponibilidad de las pruebas moleculares y terapias dirigidas[1].

[Treatment of Recurrent or Metastatic Non-small Cell Lung Cancer (NSCLC): 2nd National Consensus of the Panamanian Oncology Society (SPO).]

Abstract
For the management of patients with recurrent or advanced NSCLC, several parameters should be taken into consideration, such as; the histological type, the presence of biomarkers, age, functional status, comorbidities and patient preferences. The optimal management scenario for these patients should be within a unit of thoracic tumors with a multidisciplinary discussion that allows recommending additional diagnostic tests and evaluating the best treatment to follow[1].

All patients with clinical stages IV or recurrent disease, and with adequate functional status (ECOG 0-2, of the acronym "Eastern Cooperative Oncology Group"), should receive palliative systemic therapy with the aim of improving overall survival (SG), the quality of life and control the symptoms associated with the disease (Table 1). The choice of the first and subsequent lines of systemic treatment will depend on: the functional state of the patient, the availability of molecular tests and targeted therapies[1].


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