Skip to main content
. 2021 Sep 27;13(19):4822. doi: 10.3390/cancers13194822

Table 1.

Comparison of Recent Definitions for Oligometastatic Non-Small Cell Lung Cancer in Clinical Trials, National Treatment Guidelines, and Consensus Definitions. Modern definitions for oligometastatic non-small cell lung cancer have varied widely.

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.