Okamoto Tatsuro, Ichinose Yukito
Dept. of Thoracic Oncology, National Kyushu Cancer Center.
Gan To Kagaku Ryoho. 2006 Dec;33(13):1985-90.
Recently, several randomized trials with a large number of enrolled patients have shown that postoperative adjuvant treatment improves survival among patients with completely resected non-small cell lung cancer (NSCLC). Platinum-based chemotherapy has been reported to be effective for patients with postoperative stage I to IIIA NSCLC in western countries. On the other hand, uracil-tegafur was also shown to improve survival among patients with stage I adenocarcinoma in Japan. We reviewed the results of recent randomized trials and meta-analyses, and discuss the current role and problems related to adjuvant chemotherapy in NSCLC.
最近,几项纳入大量患者的随机试验表明,术后辅助治疗可提高完全切除的非小细胞肺癌(NSCLC)患者的生存率。据报道,在西方国家,铂类化疗对术后Ⅰ至ⅢA期NSCLC患者有效。另一方面,在日本,替加氟尿嘧啶也被证明可提高Ⅰ期腺癌患者的生存率。我们回顾了近期随机试验和荟萃分析的结果,并讨论了NSCLC辅助化疗的当前作用及相关问题。