August 7, 2026 · Annals of surgical oncology · DOI: 10.1245/s10434-026-20282-3

De-escalation of Adjuvant EGFR-TKI in Stage IB EGFR-Mutated Non-small-cell Lung Cancer: A Real-World Study

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The authors aimed to evaluate the long-term survival benefits of adjuvant epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TKIs) in patients with stage IB EGFR-mutated non-small-cell lung cancer (NSCLC). Their study found that while adjuvant EGFR-TKIs significantly improved disease-free and recurrence-free survival, there was no notable difference in overall survival, particularly in patients with smaller tumors or those without high-risk factors, suggesting that EGFR-TKIs may be unnecessary for certain subgroups.

Mu-Zi Yang, Zeng-Hao Chang, Jing-Sheng Cai, Xue Hou, Hao-Xian Yang

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