Chemotherapy and intraoperative radiation therapy for operable stage III non-small cell lung cancer
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Keywords

non-small cell lung cancer
chemotherapy
surgical treatment
intraoperative radiation therapy
radiosensibilization

How to Cite

, , & . (2016). Chemotherapy and intraoperative radiation therapy for operable stage III non-small cell lung cancer. Voprosy Onkologii, 62(4), 450–456. https://doi.org/10.37469/0507-3758-2016-62-4-450-456

Abstract

The study was undertaken to evaluate results of combined modality treatment including intraoperative radiation therapy (IORT) in 202 patients with stage III non-small cell lung cancer. The 5-year disease-free and overall survival rates in patients who underwent 15 Gy IORT were 18. 7% and 29. 2%, respectively. The overall response rate to preoperative chemotherapy with paclitaxel/carboplatin was 43. 7%, treatment was well tolerated. Preoperative chemotherapy with paclitaxel/ carboplatin in combination with 15 Gy IORT led to a significant increase in the 5-year disease-free and overall survival rates to 31. 4% and 39. 2%, respectively (p<0. 05). The 5-year disease-free and overall survival rates were respectively 32. 6% and 40. 8% in patients who received additional administration of cisplatin combined with 10 Gy IORT. Radiosensibilization with cisplatin in patients treated with 15 Gy IORT increased the 5-year disease-free and overall survival rates to 41. 7% and 47. 9%, respectively (p<0. 05).
https://doi.org/10.37469/0507-3758-2016-62-4-450-456
PDF (Русский)

References

Бойко А. В., Черниченко А. В., Филимонов А. В., Кузнецов Е. В. Лучевая терапия больных немелкоклеточным раком легкого с радиомодификацией противоопухолевыми препаратами // Росс. онкол. журн. - 2004. -№ 1. - С. 7-11.

Горбунова В. А., Маренич А. Ф., Пчелин Ю. Ю. Прогресс в лекарственном лечении немелкоклеточного рака легкого // Росс. онкол. журн. - 2007. - № 1. -С. 51-54.

Завьялов А. А., Мусабаева Л. И., Лисин В. А. и др. Пятнадцатилетний опыт применения интраоперационной лучевой терапии // Сиб. онкол. журн. - 2004. - № 2-3 (10-11). - С. 75-84.

Злокачественные новообразования в России в 2011 году (заболеваемость и смертность) / Под ред. B. И. Чиссова, В. В. Старинского, Г. В. Петровой. - М. : ФГБУ «МНИОИ им. П. А. Герцена» Минздрава России. - 2013. - 289 с.

Левченко Е. В. Осложнения хирургического лечения рака легкого // Росс. онкол. журн. - 2005. - № 2. - C. 49-52.

Писарева Л. Ф., Одинцова И. Н., Воробьев В. А. и др. Заболеваемость раком легкого населения Томской области // Сиб. онкол. журнал. - 2012. - № 4 (52). - С. 43-47.

Черниченко А. В., Филимонов А. В. Химиолучевая терапия немелкоклеточного рака легкого // Практ. онкология. - 2008. - Т. 9 (1). - С. 16-20.

Черных А. В. Возможные осложнения систематической медиастинальной билатеральной лимфодиссекции при раке легкого и пути их профилактики // Сиб. онкол. журн. - 2008. - № 5 (29). - С. 55-58.

Aristu J., Rebollo J., Martfnez-Monge R. et al. Cisplatin, mitomycin, and vindesine followed by intraoperative and postoperative radiotherapy for stage III non-small cell lung cancer: final results of a phase II study // Am. J. Clin. Oncol. - 1997. - Vol. 20 (3). - Р. 276-281.

Fujita S., Katakami N., Takahashi Y et al. Postoperative complications after induction chemoradiotherapy in patients with non-small-cell lung cancer // Eur. J. Cardiothorac. Surg. - 2006. - Vol. 29. - Р. 896-901.

Kim A. W., Boffa D. J., Wang Z., Detterbeck F. C. An analysis, systematic review, and meta-analysis of the perioperative mortality after neoadjuvant therapy and pneumonectomy for non-small cell lung cancer // J. Thorac. Cardiovasc. Surg. - 2012. - Vol. 143 (1). - P. 55-63.

Martin J., Ginsberg R. J., Venkatraman E. S. et al. Long-Term Results of Combined-Modality Therapy in Resectable Non-Small-Cell Lung Cancer // J. Clin. Oncol. -2002. - Vol. 20. - P. 1989-1995.

NSCLC Meta-analysis Collaborative Group. Preoperative chemotherapy for non-small-cell lung cancer: a systematic review and meta-analysis of individual participant data // Lancet. - 2014. - Vol. 383 (9928). - P 1561-1571.

Scagliotti G. V., Pastorino U., Vansteenkiste J. F. et al. Randomized Phase III Study of Surgery Alone or Surgery Plus Preoperative Cisplatin and Gemcitabine in Stages IB to IIIA Non-Small-Cell Lung Cancer // J. Clin. Oncol. -2012. - Vol. 30 (2). - P. 172-178.

Taylor N. A., Liao Z. X., Stevens C. et al. Postoperative radiotherapy increases locoregional control of patients with stage IIIA non-small-cell lung cancer treated with induction chemotherapy followed by surgery // Int. J. Radiat. Oncol. Biol. Phys. - 2003. - Vol. 56 (3). - P. 616-625.

Venuta F., Anile M., Diso D. et al. Operative complications and early mortality after induction therapy for lung cancer // Eur. J. Cardiothorac. Surg. - 2007. - Vol. 31 (4). -P. 714-717.

Zhou G., Zeng T., Wang L., Ma L. Analysis of the Long-term Effect of Intraoperative Radiotherapy (IORT) for Non-Small Cell Lung Carcinoma (NSCLC) // Chinese Journal of Clinical Oncology. - 2007. - Feb. - Vol. 4. (1). - P. 65-70.

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