Evidence map›Paper›PMID 40948849›Full record

ReviewTranslational lung cancer research2025

Advances in the research of leptomeningeal metastases in non-small cell lung cancer: a narrative review.

Jiaojiao Hong, Yue Hao, Jiangxia Yuan, Xianzi Dai, Chengyu Chen, Zhengxing Huo, Jia Zhu, Qian Wang

Abstract readReview
In one paragraph

Review in Translational lung cancer research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jiaojiao Hong *Department of Respiratory Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Nanjing, China.ORCID https://orcid.org/0009-0001-9831-9938
Yue Hao *Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Jiangxia YuanDepartment of Respiratory Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Nanjing, China.
Xianzi DaiDepartment of Respiratory Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Nanjing, China.
Chengyu ChenDepartment of Respiratory Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Nanjing, China.
Zhengxing HuoDepartment of Respiratory Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Nanjing, China.
Jia ZhuDepartment of Respiratory Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Nanjing, China.
Qian WangDepartment of Respiratory Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objective: Lung cancer is among the malignant tumors with the highest morbidity and mortality rates, with approximately 80-85% of cases being non-small cell lung cancer (NSCLC). The incidence of central nervous system metastases is notably high, and about 3-5% of NSCLC patients develop leptomeningeal metastases. As the survival rates for NSCLC patients improve, the incidence of leptomeningeal metastases (LMs) continues to rise. This article reviews the mechanisms of leptomeningeal metastases, diagnostic and therapeutic achievements, and ongoing challenges, providing insight into the diagnosis and management of NSCLC with LM and the development of related clinical strategies. Methods: We searched PubMed, MEDLINE, EMBASE, Cochrane Library, and major international conferences for all types of articles published in English up to December 31, 2024. Key Content and Findings: Patients with LM face significant challenges in diagnosis and treatment due to the low sensitivity of current diagnostic methods, the nonspecific nature of clinical symptoms, and the unique anatomical location of the leptomeninges. While recent exploratory studies have identified sensitive molecular markers and potential therapeutic strategies, large-scale prospective studies are still needed for validation. Conclusions: In conclusion, a multidisciplinary approach with individualized treatment plans is essential for LM patients. For LM patients with driver gene-positive, targeted therapy is the mainstay, supplemented by local therapy or anti-angiogenic agents. For LM patients with driver gene-negative, chemotherapy combined with immunotherapy is the mainstay. If treatment is not effective, means such as sequential therapy and higher drug doses provide new treatment ideas and options for LM patients.

Indexed as

diagnosisleptomeningeal metastases (LMs)mechanismNon-small cell lung cancer (NSCLC)therapy

Identifiers

PMID40948849
PMCPMC12432658

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.