Stereotactic body radiotherapy for elderly patients (≥ 75 years) with early-stage non-small cell lung cancer.

作者: Zekai Shu , Baiqiang Dong , Lei Shi , Wei Shen , Qingqing Hang

DOI: 10.1007/S00432-020-03154-5

关键词:

摘要: Stereotactic body radiotherapy (SBRT) is the primary treatment method for early-stage non-small cell lung cancer (NSCLC) considered inoperable due to medical comorbidities. However, application of SBRT in patients aged ≥ 75 years has not been adequately studied. This retrospective study aimed investigate effectiveness and safety NSCLC aged ≥ 75 years, impact on nutritional status self-care ability. Histopathologically confirmed (T1-3N0M0) treated with between 2013 2018 at our center were identified from electronic database. Treatment efficacy, toxicities, status, ability retrospectively analyzed. Toxicities evaluated according Common Terminology Criteria Adverse Event (CTCAE) (Common 2010) version 4.0. Nutritional was assessed by Risk Screening 2002 criteria, Barthel index fall risk index. A total 68 enrolled. Median follow-up duration 46.3 (3.9–80.1) months. The 1-, 3-, 5-year overall survival rates 92.6%, 77.2%, 59.1%, respectively, 1-year, 3-year local control 95.6%, 88.9% 85.6%, respectively. Grade 1–2 grade 3 radiation pneumonitis occurred 60/68 (96.8%) 1/68 (1.5%) patients, Fall 3 months after significantly different that before (P = 0.22). increased (P < 0.001). appears be effective safe no adverse

参考文章(52)
Nicole Ezer, Rajwanth R. Veluswamy, Grace Mhango, Kenneth E. Rosenzweig, Charles A. Powell, Juan P. Wisnivesky, Outcomes after Stereotactic Body Radiotherapy versus Limited Resection in Older Patients with Early-Stage Lung Cancer Journal of Thoracic Oncology. ,vol. 10, pp. 1201- 1206 ,(2015) , 10.1097/JTO.0000000000000600
Joe Y. Chang, Andrea Bezjak, Françoise Mornex, Stereotactic ablative radiotherapy for centrally located early stage non-small-cell lung cancer: what we have learned. Journal of Thoracic Oncology. ,vol. 10, pp. 577- 585 ,(2015) , 10.1097/JTO.0000000000000453
JESPEN Kondrup, Simon P Allison, Marinos Elia, Bruno Vellas, Mathias Plauth, ESPEN Guidelines for Nutrition Screening 2002 Clinical Nutrition. ,vol. 22, pp. 415- 421 ,(2003) , 10.1016/S0261-5614(03)00098-0
David Palma, Otto Visser, Frank J. Lagerwaard, Jose Belderbos, Ben Slotman, Suresh Senan, Treatment of stage I NSCLC in elderly patients: a population-based matched-pair comparison of stereotactic radiotherapy versus surgery. Radiotherapy and Oncology. ,vol. 101, pp. 240- 244 ,(2011) , 10.1016/J.RADONC.2011.06.029
E.A. Eisenhauer, P. Therasse, J. Bogaerts, L.H. Schwartz, D. Sargent, R. Ford, J. Dancey, S. Arbuck, S. Gwyther, M. Mooney, L. Rubinstein, L. Shankar, L. Dodd, R. Kaplan, D. Lacombe, J. Verweij, New response evaluation criteria in solid tumours: Revised RECIST guideline (version 1.1) European Journal of Cancer. ,vol. 45, pp. 228- 247 ,(2009) , 10.1016/J.EJCA.2008.10.026
Janneke P.C. Grutters, Alfons G.H. Kessels, Madelon Pijls-Johannesma, Dirk De Ruysscher, Manuela A. Joore, Philippe Lambin, Comparison of the effectiveness of radiotherapy with photons, protons and carbon-ions for non-small cell lung cancer: A meta-analysis Radiotherapy and Oncology. ,vol. 95, pp. 32- 40 ,(2010) , 10.1016/J.RADONC.2009.08.003
Shervin M. Shirvani, Jing Jiang, Joe Y. Chang, James Welsh, Anna Likhacheva, Thomas A. Buchholz, Stephen G. Swisher, Benjamin D. Smith, Lobectomy, sublobar resection, and stereotactic ablative radiotherapy for early-stage non-small cell lung cancers in the elderly. JAMA Surgery. ,vol. 149, pp. 1244- 1253 ,(2014) , 10.1001/JAMASURG.2014.556
Shervin M. Shirvani, Jing Jiang, Joe Y. Chang, James W. Welsh, Daniel R. Gomez, Stephen Swisher, Thomas A. Buchholz, Benjamin D. Smith, Comparative effectiveness of 5 treatment strategies for early-stage non-small cell lung cancer in the elderly. International Journal of Radiation Oncology Biology Physics. ,vol. 84, pp. 1060- 1070 ,(2012) , 10.1016/J.IJROBP.2012.07.2354
Robert J Ginsberg, Lawrence V Rubinstein, Lung Cancer Study Group, None, Randomized trial of lobectomy versus limited resection for T1 N0 non-small cell lung cancer The Annals of Thoracic Surgery. ,vol. 60, pp. 615- 623 ,(1995) , 10.1016/0003-4975(95)00537-U
Alexander Chi, Zhongxing Liao, Nam P. Nguyen, Jiahong Xu, Baldassarre Stea, Ritsuko Komaki, Systemic review of the patterns of failure following stereotactic body radiation therapy in early-stage non-small-cell lung cancer: Clinical implications Radiotherapy and Oncology. ,vol. 94, pp. 1- 11 ,(2010) , 10.1016/J.RADONC.2009.12.008