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Table 2 Clinical presentation and treatment of 80 NSCLC patients with LM

From: Whole brain radiotherapy (WBRT) for leptomeningeal metastasis from NSCLC in the era of targeted therapy: a retrospective study

Variable

N (%)

Timing of metastasis

 Synchronous

19 (23.8)

 Metachronous

61 (76.3)

Time from diagnosis of lung cancer to LM, months

 Median (range)

12.5 (−0.2 to 73.0)

KPS score

 ≥ 80

21 (26.3%)

 70–50

41 (51.3%)

 ≤ 40

18 (22.5%)

GCS score

 Less than 15

16 (20.0)

With CNS symptoms

80 (100.0)

Modality of LM diagnosis

 MRI

25 (31.3)

 CSF cytology

4 (5.0)

 MRI + CSF cytology

51 (63.8)

Concurrent brain metastasis

42 (52.5)

Extra-CNS metastasis

51 (63.8)

Local treatment for LM

 WBRT

38 (47.5)

 VP shunt

6 (7.5)

 Ventricular external drainage

7 (8.8)

 Lumbar cistern drainage

3 (3.8)

Systematic treatment for LM

 Osimertinib

25 (31.3)

 Gefitinib

12 (15.0)

 Erlotinib

4 (5.0)

 Icotinib

5 (6.3)

 Afatinib

1 (1.3)

 Gefitinib followed by Osimertinib

2 (2.5)

 Bevacizumab

9 (11.3)

 Chemotherapy

36 (45.0)

  1. Abbreviations: CNS Central nervous system, CSF Cerebrospinal fluid, MRI Magnetic resonance imaging, VP Ventriculoperitoneal, KPS Karnofsky performance status, GCS Glasgow coma scale, EGFR Epidermal growth factor receptor, TKI Tyrosine kinase inhibitors, LM Leptomeningeal metastasis, WBRT Whole brain radiotherapy, Gy Gray, HR Hazard ratio, CI Confidence interval