Table 1.
Author | Year | Study Type | Maximum Number of Metastases | Maximum Number of Organ Sites | Maximum Lesions in Each Organ | Intrathoracic N+ as Metastasis |
Pulmonary Lesion as Metastasis |
Includes Intracranial Lesions |
No Disease Progression after First Line Therapy | Notes |
---|---|---|---|---|---|---|---|---|---|---|
Ashworth [5] | 2014 | Meta-analysis | 5 | NS | NS | NS | Yes | Yes | NS | |
Gomez [2,3] |
2016, 2019 | RCT phase II | 3 | NS | NS | Yes | NS | Yes | Yes | |
Iyengar [27] | 2018 | RCT phase II | 5 | NS | 3 in lung or liver | NS | Yes | Exclude uncontrolled intracranial | Yes | |
Palma [12,13] |
2019, 2020 | RCT phase II | 5 | NS | 3 | NS | NS | Exclude if only site of disease | Yes | Not lung cancer-specific |
Dingemans [36] (EORTC-LCG) | 2019 | Consensus working group | 5 | 3 | NS | No | Yes | Yes | NS | |
TNM stage M1a [31] | 2017 | Staging Guidelines | 1 | 1 | 1 | No | Contralateral | Yes | NA | |
NCCN [34] | 2021 | Treatment Guidelines | 3-5 | NS | NS | No | Treat as second primary | Yes | NS | |
ESMO [35] | 2018 | Treatment Guidelines | 3 | NS | NS | NS | Treat as second primary | Yes | NS |
Abbreviations. NS, not specified; RCT, randomized controlled trial; EORTC-LCG, The European Organization of Research and Treatment of Cancer—Lung Cancer Group; NCCN, National Comprehensive Cancer Network; ESMO, European Society for Medical Oncology.