A majority of patients diagnosed with non-small cell lung cancer (NSCLC) wi
ll have advanced disease at diagnosis. In the past, systemic therapy (chemo
therapy) has demonstrated only slight improvement in survival, hence, pract
itioners were reluctant to refer patients for cytotoxic therapy. In the pas
t few years, newer chemotherapeutic agents, with increased activity against
NSCLC, have been shown to significantly improve median and I-year survival
rates and improve quality of life. Although advanced NSCLC is considered i
ncurable disease, it is, however, potentially treatable disease. This chapt
er will address the evidence regarding currently available therapies for pa
tients with advanced stage NSCLC.