Concurrent cisplatin/etoposide plus chest radiotherapy followed by surgery for stages IIIA (N2) and IIIB non-small-cell lung cancer: mature results of Southwest Oncology Group phase II study 8805.

作者: K S Albain , V W Rusch , J J Crowley , T W Rice , A T Turrisi

DOI: 10.1200/JCO.1995.13.8.1880

关键词:

摘要: PURPOSETo assess the feasibility of concurrent chemotherapy and irradiation (chemoRT) followed by surgery in locally advanced non-small-cell lung cancer (NSCLC) a cooperative group setting, to estimate response, resection rates, relapse patterns, survival for stage subsets IIIA(N2) versus IIIB.PATIENTS AND METHODSBiopsy proof either positive N2 nodes (IIIAN2) or N3 T4 primary lesions (IIIB) was required. Induction two cycles cisplatin etoposide plus chest RT 45 Gy. Resection attempted if response stable disease occurred. A chemoRT boost given unresectable margins found.RESULTSThe median follow-up time 126 eligible patients [75 51 IIIB] 2.4 years. The objective rate induction 59%, 29% were stable. Resectability 85% 80% IIIB group. Reversible grade 4 toxicity occurred 13% patients. There ...

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