Feasibility of Image-Guided Radiotherapy and Concurrent Chemotherapy for Locally Advanced Nonsmall Cell Lung Cancer

被引:6
|
作者
Nguyen, Nam P. [1 ]
Kratz, Sarah [2 ]
Chi, Alexander [3 ]
Vock, Jacqueline [4 ]
Vos, Paul [5 ]
Shen, Wei [6 ]
Vincent, Vinh-Hung [6 ]
Ewell, Lars [7 ]
Jang, Siyoung [8 ]
Altdorfer, Gabor [9 ]
Karlsson, Ulf [10 ]
Godinez, Juan [11 ]
Woods, William [12 ]
Dutta, Suresh [13 ]
Ampil, Fred [14 ,15 ]
机构
[1] Howard Univ, Dept Radiat Oncol, Washington, DC 20059 USA
[2] Univ Arizona, Div Hematol Oncol, Tucson, AZ 85721 USA
[3] W Virginia Univ, Dept Radiat Oncol, Morgantown, WV 26506 USA
[4] Lindenhofspital, Dept Radiat Oncol, Bern, Switzerland
[5] E Carolina Univ, Dept Biostat, Greenville, NC USA
[6] Univ Arizona, Div Pulm Med, Tucson, AZ USA
[7] Martinique Hosp Univ, Dept Radiat Oncol, Fort De France, Martinique, France
[8] Hampton Univ, Proto Inst, Dept Radiat Oncol, Hampton, VA 23668 USA
[9] Univ Arizona, Dept Radiat Oncol, Tucson, AZ 85721 USA
[10] Camden Clark Med Ctr, Dept Radiat Oncol, Parkersburg, WV USA
[11] Marshfield Clin Fdn Med Res & Educ, Dept Radiat Oncol, Marshfield, WI USA
[12] Rochester Gen Hosp, Dept Radiat Oncol, Rochester, NY 14621 USA
[13] Richard A Henson Canc Inst, Dept Radiat Oncol, Salisbury, MD USA
[14] Med & Radiat Oncol PA, Dept Radiat Oncol, San Antonio, TX USA
[15] Louisiana State Univ, Dept Radiat Oncol, Shreveport, LA 71105 USA
关键词
NSCLC; Locally advanced; Chemoradiation; IGRT; RANDOMIZED PHASE-II; INTENSITY-MODULATED RADIOTHERAPY; RADIATION-THERAPY; THORACIC RADIOTHERAPY; DOSE-ESCALATION; NECK-CANCER; CHEMORADIOTHERAPY; TOMOTHERAPY; CARCINOMA; CISPLATIN;
D O I
10.3109/07357907.2014.1001896
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
A retrospective review of 32 patients with stage III nonsmall cell lung cancer who underwent chemoradiation with image-guided radiotherapy (IGRT) was recorded. Acute grade 3-4 hematologic and esophageal toxicities developed in 6 and 13 patients respectively. At a median follow-up of 14.5 months, only one patient developed grade 3 pneumonitis. The median survival was estimated to be 17 months. Five patients (15%) developed loco-regional recurrences, and 17 patients (53%) distant metastases. Grade 3-4 toxicities remained significant during chemoradiation with IGRT. However, the reduced rate of severe pneumonitis despite a high tumor dose is encouraging and needs to be investigated in future prospective studies.
引用
收藏
页码:53 / 60
页数:8
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