Current Treatment of Unresectable Lung Cancer

作者: JAMES R. JETT

DOI: 10.1016/S0025-6196(12)60376-0

关键词:

摘要: The treatment of choice for most cases non-small-cell lung cancer is surgical resection; however, which patients with stage IIIA disease are candidates debatable. For many or IIIB disease, the preferred modality thoracic radiotherapy. In several randomized prospective trials, addition chemotherapy to radiotherapy produced a significant but clinically small survival advantage over alone. IV cancer, no curative "standard therapy" available. Accordingly, offered investigational agents in phase I II clinical trials. Small-cell has 60 90% rate initial response available chemotherapeutic agents. Patients limited generally given combination and radiotherapy, approximately 50% whom have complete remission. extensive (spread beyond one radiation port) also high chemotherapy, only 20 40% remission few survive 5 years. New being tested previously untreated small-cell cancer. Promising new studied Currently, 1% United States enrolled Primary-care physicians urged encourage their consider participation approved trials at reputable medical centers, an effort discover new, effective novel mechanisms action. Information about such studies through Physician Desk Query (PDQ) hotline (1-800-4-CANCER).

参考文章(64)
Zelen M, Keynote address on biostatistics and data retrieval. Cancer chemotherapy reports. ,vol. 4, pp. 31- 42 ,(1973)
Thomas W. Shields, George A. Higgins, Mary J. Matthews, Robert J. Keehn, Surgical resection in the management of small cell carcinoma of the lung. The Journal of Thoracic and Cardiovascular Surgery. ,vol. 84, pp. 481- 488 ,(1982) , 10.1016/S0022-5223(19)38975-5
Steven A. Rosenberg, Vincent T. DeVita, Samuel Hellman, Cancer : Principles and Practice of Oncology ,(1982)
DeBoer G, Osoba D, Evans Wk, Feld R, Shepherd Fa, First-line therapy with VP-16 and cisplatin for small-cell lung cancer. Seminars in Oncology. ,vol. 13, pp. 17- 23 ,(1986)
L Jaakkimainen, P J Goodwin, J Pater, P Warde, N Murray, E Rapp, Counting the costs of chemotherapy in a National Cancer Institute of Canada randomized trial in nonsmall-cell lung cancer. Journal of Clinical Oncology. ,vol. 8, pp. 1301- 1309 ,(1990) , 10.1200/JCO.1990.8.8.1301
W K Evans, F A Shepherd, R Feld, D Osoba, P Dang, G Deboer, VP-16 and cisplatin as first-line therapy for small-cell lung cancer. Journal of Clinical Oncology. ,vol. 3, pp. 1471- 1477 ,(1985) , 10.1200/JCO.1985.3.11.1471
S L Graziano, R Mazid, N Newman, A Tatum, A Oler, J A Mortimer, J J Gullo, S M DiFino, A J Scalzo, The use of neuroendocrine immunoperoxidase markers to predict chemotherapy response in patients with non-small-cell lung cancer. Journal of Clinical Oncology. ,vol. 7, pp. 1398- 1406 ,(1989) , 10.1200/JCO.1989.7.10.1398
P D Bonomi, D M Finkelstein, J C Ruckdeschel, R H Blum, M D Green, B Mason, R Hahn, D C Tormey, J Harris, R Comis, Combination chemotherapy versus single agents followed by combination chemotherapy in stage IV non-small-cell lung cancer: a study of the Eastern Cooperative Oncology Group. Journal of Clinical Oncology. ,vol. 7, pp. 1602- 1613 ,(1989) , 10.1200/JCO.1989.7.11.1602
E Rapp, J L Pater, A Willan, Y Cormier, N Murray, W K Evans, D I Hodson, D A Clark, R Feld, A M Arnold, Chemotherapy can prolong survival in patients with advanced non-small-cell lung cancer--report of a Canadian multicenter randomized trial. Journal of Clinical Oncology. ,vol. 6, pp. 633- 641 ,(1988) , 10.1200/JCO.1988.6.4.633