Transplants extended survival for patients whose stage 4 lung cancer hadn’t spread, study says - Report - MDSpire

Transplants extended survival for patients whose stage 4 lung cancer hadn’t spread, study says

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  • Elizabeth Cooney

  • July 8, 2026

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Clinical Report: Lung Transplants Improve Survival Rates in Stage 4 Lung Cancer

Overview

A study from Northwestern Medicine indicates that lung transplants can improve survival rates in patients with stage 4 lung cancer that has not metastasized. The one-year survival rate for transplant recipients was 100%, compared to 40.8% for those receiving standard medical management.

Background

Lung cancer remains a leading cause of cancer-related mortality, particularly in advanced stages. Traditionally, patients with stage 4 lung cancer have been excluded from lung transplant candidacy due to concerns about cancer recurrence and low survival rates. This study explores lung transplantation in a carefully selected group of patients with limited lung-confined disease.

Data Highlights

GroupOne-Year Survival Rate
Transplant Recipients with NSCLC100%
Medically Managed NSCLC Patients40.8%
Non-Cancer Transplant Recipients88.1%

Key Findings

  • 17 patients with stage 4 lung cancer received lung transplants, showing a 100% one-year survival rate.
  • In comparison, 81 patients receiving standard treatment had a 40.8% one-year survival rate.
  • Among the transplant group, there were four recurrences of cancer and two deaths unrelated to cancer.
  • 74 out of 81 patients in the standard care group experienced cancer progression.

Clinical Implications

The findings indicate that lung transplantation may be an option for select patients with stage 4 lung cancer confined to the lungs. Further research is needed to validate these results.

Conclusion

This study provides evidence that lung transplantation could be beneficial for patients with advanced lung cancer that has not metastasized.

Related Resources & Content

  1. Bharat A, et al., JAMA, 2026 -- Lung Transplant for Refractory Lung-Limited Stage IV Non–Small Cell Lung Cancer
  2. The ASCO Post, 2024 -- Quality Improvements in Lung Cancer Surgery and Tumor Pathology May Extend Survival Postsurgery
  3. The ASCO Post, 2025 -- Anatomic Lung Resection May Be Linked to Improved Survival in Early-Stage NSCLC
  4. Updates in Surgery, 2025 -- Effects of Metastasectomy on Survival Outcomes in Patients with Oligometastatic Stage 4a Lung Cancer: A Retrospective Study
  5. International Society for Heart and Lung Transplantation, 2021 -- Consensus document for the selection of lung transplant candidates
  6. The ASCO Post — Study Finds More Patients Treated for and Surviving Early-Stage NSCLC
  7. Consensus document for the selection of lung transplant candidates: An update from the International Society for Heart and Lung Transplantation
  8. Lung Transplant for Refractory Lung-Limited Stage IV Non–Small Cell Lung Cancer | Surgery | JAMA | JAMA Network

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