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What I Really Do: Advanced Lung Cancer in Never-Smokers (LCINS)

August 25, 2008 - 7:33 pm

  We’re recognizing more and more that lung cancer in never-smokers (LCINS) is a distinct disease, with different patterns of who gets it, how the cancer behaves, and it responds  to treatments.  But this recognition is still a work in progress, coming from a background in which the party line has been that NSCLC is […]

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Trial of Tarceva in BAC: New Info on Who Benefits with Tarceva

April 29, 2008 - 3:49 pm

   In a recent issue of the Journal of Clinical Oncology, Dr. Vince Miller and colleagues published the results of an important trial of the EGFR inhibitor tarceva (erlotinib) in the unusual NSCLC subtype bronchioloalveolar carcinoma, or BAC (abstract here).   This work was predicated on the observation, also by Dr. Miller and his colleagues at Memorial […]

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Genetic Differences in Never-Smoker Lung Cancer

December 5, 2007 - 12:00 am

   As I’ve mentioned in some prior posts, there is increasing recognition that lung cancer in never-smokers may be a different disease.  Some of this has been defined by working backward from treatment results, where we’ve seen that never-smokers are consistently among the greatest beneficiaries of EGFR inhibitor therapies like Iressa or Tarceva.  But there […]

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Never-Smokers, Part II: Different Responses to Treatment

November 22, 2006 - 6:24 pm

   I reviewed some of the differences in the biology and clinical behavior of never-smoker lung cancers vs. the much more common lung cancer seen in current or former smokers.  The main reason it is worth discussing is that there appear to be important differences in how never-smokers with NSCLC respond to some treatments, particularly […]

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Do Never Smokers with Lung Cancer Have a Different Disease?

November 21, 2006 - 7:53 pm

  Just a few years ago, the only distinction in the field of lung cancer that meant anything was small cell vs. non-small cell.  The different types of non-small cell, like adenocarcinoma vs. squamous cell vs. large cell, were of little interest and didn’t change management (only a very recent development).  And although we often […]

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