| Turkish Journal of Cancer |
| 2006, Volume 36, Number 4, Page(s) 162-168 |
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| Neoadjuvant chemotherapy and concomitant boost radiotherapy in locally advanced non-small cell lung cancer |
| DENİZ MEYDAN, ŞABAN ÇAKIR, NİLGÜN ÖZBEK, BİLGE GÜRSEL, ÖZDEN KARAOĞLANOĞLU |
| Ondokuz Mayıs University, School of Medicine, Department of Radiation Oncology, Samsun, Turkey |
This Phase II study was designed to assess the possibility
of increasing local control and decreasing distant metastasis
by using neoadjuvant chemotherapy, and concomitant boost
radiotherapy which was used to prevent accelerated repopulation
in locally advanced non-small cell lung cancer. Thirtyone
patients with stage IIIA and IIIB non-small cell lung cancer
were included into this phase II study. Two cycles neoadjuvant
cisplatin and vinorelbine were applied. This was followed by
thoracic radiotherapy of 64.4 Gy. Response evaluation was
performed 4 weeks after the radiotherapy. One year overall
survival, progression-free survival and distant disease-free
survival rates were 38.4%, 42.1% and 65%, respectively. An
objective response was observed in 75% of patients. Different
doses of cisplatin affected objective response rate and distant
disease-free survival. Grade 3-4 toxicities occurred in 17
patients with chemotherapy and 9 patients with radiotherapy.
There was no late grade 3-4 toxicity. Neoadjuvant chemotherapy
and concomitant boost accelerated radiotherapy
seems difficult to be considered as a standard treatment
method. The ratio of objective response and survival is not
at desirable level even though it is higher than the conventional
technique. [Turk J Cancer 2006;36(4):162-168].
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