Induction chemotherapy with mitomycin, vindesine, and cisplatin for stage III unresectable non-small-cell lung cancer: results of the Toronto Phase II Trial.

作者: R L Burkes , R J Ginsberg , F A Shepherd , M E Blackstein , M E Goldberg

DOI: 10.1200/JCO.1992.10.4.580

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摘要: PURPOSEThe 5-year survival rates with surgical resection for preoperatively identified stage IIIA N2 non-small-cell lung cancer (NSCLC) are less than 10%. A pilot study of mitomycin, vindesine, and cisplatin (MVP) induction chemotherapy was undertaken in an attempt to improve the curative potential surgery this group patients.PATIENTS AND METHODSThirty-nine patients mediastinoscopy NSCLC received two cycles MVP. Responding underwent thoracotomy further courses MVP.RESULTSThe overall response rate 64% (25 39) three complete 22 partial responses. Twenty-two were resected, which included a radical mediastinal node dissection. Eighteen resections four incomplete. Pathologically, (7.7%) had no tumor remaining. Toxicity postoperative deaths secondary bronchopleural (BP) fistula, mitomycin pulmonary toxicity patients, septic patients. Twenty-e...

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