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放疗的最新进展。

State of the art of radiotherapy.

机构信息

Medical Oncology Department, IRYCIS, Hospital Universitario Ramón y Cajal, Carretera Colmenar Viejo km 9100, 28034, Madrid, Spain.

出版信息

Transl Lung Cancer Res. 2013 Jun;2(3):189-99. doi: 10.3978/j.issn.2218-6751.2013.03.02.

DOI:10.3978/j.issn.2218-6751.2013.03.02
PMID:25806232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4367597/
Abstract

Locally advanced or stage III disease accounts for ~30% of patients with non-small-cell lung cancer (NSCLC), which means only in the United States, more than 50,000 new patients each year. Stage III is a very heterogeneous disease, the management of patients is complex and several conditions (performance status, weight loss, comorbidities, characteristics of nodal involvement or resectability) must be considered before selecting the best treatment, which in most cases is chemotherapy (CT) and radiotherapy (RT). In this article, we will review key changes in the management of unresectable stage III during the last decades. Also we will highlight some challenges and areas of active research.

摘要

局部晚期或 III 期疾病占非小细胞肺癌 (NSCLC) 患者的约 30%,这意味着仅在美国,每年就有超过 50,000 例新患者。III 期是一种非常异质的疾病,患者的管理非常复杂,在选择最佳治疗方法之前,必须考虑多种情况(体能状态、体重减轻、合并症、淋巴结受累或可切除性的特点),在大多数情况下,治疗方法是化疗 (CT) 和放疗 (RT)。本文将回顾过去几十年中不可切除 III 期疾病管理方面的重要变化。同时,我们将重点介绍一些具有挑战性和活跃研究领域。

相似文献

1
State of the art of radiotherapy.放疗的最新进展。
Transl Lung Cancer Res. 2013 Jun;2(3):189-99. doi: 10.3978/j.issn.2218-6751.2013.03.02.
2
A prospective phase II study of induction carboplatin and vinorelbine followed by concomitant topotecan and accelerated radiotherapy (ART) in locally advanced non-small cell lung cancer (NSCLC).一项关于局部晚期非小细胞肺癌(NSCLC)的前瞻性II期研究,采用诱导性卡铂和长春瑞滨治疗,随后序贯拓扑替康同步放化疗(ART)。
J Thorac Oncol. 2007 Sep;2(9):831-7. doi: 10.1097/JTO.0b013e318145b2e5.
3
Clinical practice guidelines for the treatment of unresectable non-small-cell lung cancer. Adopted on May 16, 1997 by the American Society of Clinical Oncology.不可切除的非小细胞肺癌治疗临床实践指南。1997年5月16日由美国临床肿瘤学会采用。
J Clin Oncol. 1997 Aug;15(8):2996-3018. doi: 10.1200/JCO.1997.15.8.2996.
4
Treatment of advanced (stages III and IV) non-small-cell lung cancer.晚期(III期和IV期)非小细胞肺癌的治疗。
Curr Probl Cancer. 1998 Mar-Apr;22(2):85-132. doi: 10.1016/s0147-0272(98)90010-1.
5
Improved survival in stage III non-small-cell lung cancer: seven-year follow-up of cancer and leukemia group B (CALGB) 8433 trial.III期非小细胞肺癌患者生存率的提高:癌症与白血病B组(CALGB)8433试验的七年随访
J Natl Cancer Inst. 1996 Sep 4;88(17):1210-5. doi: 10.1093/jnci/88.17.1210.
6
Combined modality therapy of non-small cell lung cancers.非小细胞肺癌的综合治疗
Ann Oncol. 1999;10 Suppl 6:93-8.
7
Therapeutic management options for stage III non-small cell lung cancer.III期非小细胞肺癌的治疗管理方案
World J Clin Oncol. 2017 Feb 10;8(1):1-20. doi: 10.5306/wjco.v8.i1.1.
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Accelerated hyperfractionated radiotherapy combined with induction and concomitant chemotherapy for inoperable non-small-cell lung cancer--impact of total treatment time.加速超分割放疗联合诱导及同步化疗治疗不可切除非小细胞肺癌——总治疗时间的影响
Acta Oncol. 1998;37(6):539-45. doi: 10.1080/028418698430232.
9
Management of unresectable stage III non-small cell lung cancer: the role of combined chemoradiation.不可切除的III期非小细胞肺癌的管理:同步放化疗的作用
Semin Radiat Oncol. 2004 Oct;14(4):326-34. doi: 10.1016/j.semradonc.2004.07.002.
10
Concurrent chemotherapy (CT) and radiotherapy (RT) in locally advanced non-small cell lung cancer (NSCLC): a review.局部晚期非小细胞肺癌同步化疗与放疗综述
Lung Cancer. 1994 Nov;11 Suppl 3:S79-99. doi: 10.1016/0169-5002(94)91869-4.

本文引用的文献

1
Biologically targeted therapies plus chemotherapy plus radiotherapy in stage III non-small-cell lung cancer: a case of the Icarus syndrome?III期非小细胞肺癌的生物靶向治疗联合化疗和放疗:伊卡洛斯综合征病例?
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2
Novel approaches of chemoradiotherapy in unresectable stage IIIA and stage IIIB non-small cell lung cancer.不可切除的 IIIA 期和 IIIB 期非小细胞肺癌的放化疗新方法。
Oncologist. 2012;17(5):682-93. doi: 10.1634/theoncologist.2012-0020. Epub 2012 Apr 24.
3
Molecular profiling to optimize treatment in non-small cell lung cancer: a review of potential molecular targets for radiation therapy by the translational research program of the radiation therapy oncology group.分子谱分析优化非小细胞肺癌治疗:放射治疗肿瘤学组转化研究计划中针对放射治疗的潜在分子靶标的综述。
Int J Radiat Oncol Biol Phys. 2012 Jul 15;83(4):e453-64. doi: 10.1016/j.ijrobp.2012.01.056. Epub 2012 Apr 18.
4
Randomized phase II study of concurrent cisplatin/etoposide or paclitaxel/carboplatin and thoracic radiotherapy in patients with stage III non-small cell lung cancer.随机 II 期研究:同期顺铂/依托泊苷或紫杉醇/卡铂联合胸部放疗治疗 III 期非小细胞肺癌患者。
Lung Cancer. 2012 Jul;77(1):89-96. doi: 10.1016/j.lungcan.2012.02.011. Epub 2012 Mar 13.
5
Are the results of RTOG 0617 mysterious?放射治疗肿瘤学组(RTOG)0617试验的结果很神秘吗?
Int J Radiat Oncol Biol Phys. 2012 Mar 1;82(3):1042-4. doi: 10.1016/j.ijrobp.2011.12.032.
6
A review of clinical trials of cetuximab combined with radiotherapy for non-small cell lung cancer.对西妥昔单抗联合放疗治疗非小细胞肺癌的临床试验的综述。
Radiat Oncol. 2012 Jan 11;7:3. doi: 10.1186/1748-717X-7-3.
7
Updated survival and outcomes for older adults with inoperable stage III non-small-cell lung cancer treated with cisplatin, etoposide, and concurrent chest radiation with or without consolidation docetaxel: analysis of a phase III trial from the Hoosier Oncology Group (HOG) and US Oncology.更新了不能手术的 III 期非小细胞肺癌老年患者采用顺铂、依托泊苷和同期胸部放疗联合或不联合巩固多西他赛治疗的生存和结局:印第安纳肿瘤协作组(HOG)和美国肿瘤学的一项 III 期试验的分析。
Ann Oncol. 2012 Jul;23(7):1730-8. doi: 10.1093/annonc/mdr565. Epub 2011 Dec 9.
8
Sequential vs. concurrent chemoradiation for stage III non-small cell lung cancer: randomized phase III trial RTOG 9410.序贯与同步放化疗治疗 III 期非小细胞肺癌:RTOG9410 随机 III 期试验
J Natl Cancer Inst. 2011 Oct 5;103(19):1452-60. doi: 10.1093/jnci/djr325. Epub 2011 Sep 8.
9
Randomized phase II study of pemetrexed, carboplatin, and thoracic radiation with or without cetuximab in patients with locally advanced unresectable non-small-cell lung cancer: Cancer and Leukemia Group B trial 30407.培美曲塞、卡铂和胸部放疗联合或不联合西妥昔单抗治疗局部晚期不可切除非小细胞肺癌的随机 II 期研究:癌症和白血病组 B 试验 30407。
J Clin Oncol. 2011 Aug 10;29(23):3120-5. doi: 10.1200/JCO.2010.33.4979. Epub 2011 Jul 11.
10
New strategies in non-small cell lung cancer: improving outcomes in chemoradiotherapy for locally advanced disease.非小细胞肺癌的新策略:改善局部晚期疾病放化疗的疗效。
Clin Cancer Res. 2011 Jul 1;17(13):4192-9. doi: 10.1158/1078-0432.CCR-10-2760. Epub 2011 May 16.