title: [Reflections on the limits of specific treatments in thoracic oncology].
abstract: The modest impact of specific treatments is a major problem in oncology and particularly for metastatic lung cancer patients. Therapeutic progress achieved by some targeted therapies is, in fact, only relevant for a small proportion of patients. The vast majority of people with this condition are rapidly confronted by the limits of specific therapies and management is or becomes entirely palliative. This article addresses therapeutic limitations in the management of metastatic lung cancer, as well as legislative aspects and guidelines for practitioners when discussing these issues with patients, together with a discussion of the psychological consequences for patients.
authors.affiliation: Département de cancérologie générale, CLCC Oscar-Lambret, 3, rue Fréderic-Combemale, 59020 Lille cedex, France. Electronic address: e-dansin@o-lambret.fr.
authors.forename: E
authors.initials: E
authors.lastname: Dansin
authors.affiliation: Département de cancérologie générale, CLCC Oscar-Lambret, 3, rue Fréderic-Combemale, 59020 Lille cedex, France.
authors.forename: G
authors.initials: G
authors.lastname: Lauridant
authors.affiliation: Onco-psychiatre, CLCC Oscar-Lambret, 59020 Lille, France.
authors.forename: M
authors.initials: M
authors.lastname: Reich
authors.affiliation: Unité de soins palliatifs, CLCC Oscar-Lambret, 59020 Lille, France.
authors.forename: S
authors.initials: S
authors.lastname: Villet
authors.affiliation: Département d'oncologie médicale, institut de cancérologie Lucien-Neuwirth, 42271 Saint-Priest en Jarez, France.
authors.forename: P
authors.initials: P
authors.lastname: Fournel
mesh_terms: D002289:Carcinoma, Non-Small-Cell Lung / Q000473:pathology / Q000523:psychology / Q000628:therapy*; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000523:psychology / Q000628:therapy*; D009362:Neoplasm Metastasis; D010166:Palliative Care / Q000331:legislation & jurisprudence / Q000379:methods / Q000523:psychology / Q000592:standards*; D028701:Patient Rights; D013727:Terminal Care / Q000331:legislation & jurisprudence / Q000523:psychology
keywords: Cancer bronchique; End of life; Fin de vie; Leonetti law; Limitation des soins spécifiques; Limiting care; Loi Léonetti; Lung cancer; Palliative care; Soins palliatifs