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本文引用的文献

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Nedaplatin plus docetaxel versus cisplatin plus docetaxel for advanced or relapsed squamous cell carcinoma of the lung (WJOG5208L): a randomised, open-label, phase 3 trial.奈达铂联合多西他赛与顺铂联合多西他赛治疗晚期或复发性肺鳞状细胞癌(WJOG5208L):一项随机、开放标签、III 期临床试验。
Lancet Oncol. 2015 Dec;16(16):1630-8. doi: 10.1016/S1470-2045(15)00305-8. Epub 2015 Oct 28.
2
Comparisons of the clinicopathological features and survival outcomes between lung cancer patients with adenocarcinoma and squamous cell carcinoma.肺腺癌和肺鳞癌患者的临床病理特征及生存结果比较。
Gen Thorac Cardiovasc Surg. 2015 Sep;63(9):507-13. doi: 10.1007/s11748-015-0564-5. Epub 2015 May 30.
3
Lung cancer incidence trends by gender, race and histology in the United States, 1973-2010.1973 - 2010年美国肺癌发病率按性别、种族和组织学类型的变化趋势
PLoS One. 2015 Mar 30;10(3):e0121323. doi: 10.1371/journal.pone.0121323. eCollection 2015.
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J Clin Oncol. 2013 Aug 10;31(23):2895-902. doi: 10.1200/JCO.2012.47.1102. Epub 2013 Jul 8.
5
Nedaplatin: a cisplatin derivative in cancer chemotherapy.奈达铂:癌症化疗中的顺铂衍生物。
Cancer Manag Res. 2013 May 8;5:67-76. doi: 10.2147/CMAR.S35785. Print 2013.
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Differences between squamous cell carcinoma and adenocarcinoma of the lung: are adenocarcinoma and squamous cell carcinoma prognostically equal?肺鳞癌与肺腺癌的差异:肺腺癌和肺鳞癌的预后是否相当?
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Prognostic impact of histology on early-stage non-small cell lung cancer.组织学对早期非小细胞肺癌的预后影响。
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8
Comparison of nedaplatin and irinotecan for patients with squamous and nonsquamous cell carcinoma of the lung: meta-analysis of four trials.比较奈达铂和顺铂治疗非小细胞肺癌的疗效和安全性的 Meta 分析。
J Thorac Oncol. 2011 Jan;6(1):128-31. doi: 10.1097/JTO.0b013e3181ccb3a9.
9
Japanese Lung Cancer Registry Study: first prospective enrollment of a large number of surgical and nonsurgical cases in 2002.日本肺癌注册研究:2002 年首次前瞻性纳入大量手术和非手术病例。
J Thorac Oncol. 2010 Sep;5(9):1369-75. doi: 10.1097/JTO.0b013e3181e452b9.
10
Adjuvant cisplatin and vinorelbine for completely resected non-small cell lung cancer: subgroup analysis of the Lung Adjuvant Cisplatin Evaluation.完全切除的非小细胞肺癌的辅助顺铂和长春瑞滨:肺辅助顺铂评估的亚组分析。
J Thorac Oncol. 2010 Feb;5(2):220-8. doi: 10.1097/JTO.0b013e3181c814e7.

铂类辅助化疗用于Ⅱ期和Ⅲ期肺鳞状细胞癌

Platinum-Based Adjuvant Chemotherapy for Stage II and Stage III Squamous Cell Carcinoma of the Lung.

作者信息

Isaka Tetsuya, Nakayama Haruhiko, Yokose Tomoyuki, Ito Hiroyuki, Katayama Kayoko, Yamada Kouzo, Masuda Munetaka

机构信息

Department of Thoracic Surgery, Kanagawa Cancer Center, Yokohama, Kanagawa, Japan.

出版信息

Ann Thorac Cardiovasc Surg. 2017 Feb 20;23(1):19-25. doi: 10.5761/atcs.oa.16-00164. Epub 2016 Dec 27.

DOI:10.5761/atcs.oa.16-00164
PMID:28025447
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5347483/
Abstract

INTRODUCTION

The efficacy of platinum-based adjuvant chemotherapy (PBAC) for pathological stage II and stage III squamous cell carcinoma (SCC) of the lung was analyzed retrospectively.

MATERIALS AND METHODS

The prognoses of 94 patients with stage II and stage III SCC with or without PBAC (more than three courses of cisplatin-, carboplatin-, and nedaplatin-based adjuvant chemotherapy) were compared.

RESULTS

The mean observation period was 46.1 months. PBAC was not administered for the following reasons: 39 (55.7%) patients had comorbidities, 25 (35.7%) were older than 75 years, 19 (27.1%) patients underwent surgery before the approval of PBAC, and 3 (4.3%) patients could not continue PBAC (≤2 cycles) because of adverse events. PBAC patients (n = 24) were significantly younger than non-PBAC patients (n = 70; 66.3 vs 69.6 years old, respectively; p = 0.043). Disease-free survival (DFS) did not differ between PBAC and non-PBAC patients (55.0% and 67.1%, respectively; p = 0.266). PBAC patients tended to have worse overall survival (OS) than non-PBAC patients (56.1% and 70.2%, respectively; p = 0.138). PBAC was not prognostic for OS (hazard ratio (HR), 2.11; 95% confidence interval (CI), 0.82%-5.40%; p = 0.120).

CONCLUSION

PBAC did not improve the prognoses of patients with pathological stage II or stage III SCC in the single institution experience.

摘要

引言

回顾性分析铂类辅助化疗(PBAC)对肺病理Ⅱ期和Ⅲ期鳞状细胞癌(SCC)的疗效。

材料与方法

比较94例Ⅱ期和Ⅲ期SCC患者接受或未接受PBAC(超过三个疗程的顺铂、卡铂和奈达铂为基础的辅助化疗)的预后。

结果

平均观察期为46.1个月。未进行PBAC的原因如下:39例(55.7%)患者有合并症,25例(35.7%)年龄大于75岁,19例(27.1%)患者在PBAC获批前接受了手术,3例(4.3%)患者因不良事件无法继续PBAC(≤2个周期)。接受PBAC的患者(n = 24)明显比未接受PBAC的患者年轻(分别为66.3岁和69.6岁;p = 0.043)。PBAC组和非PBAC组患者的无病生存期(DFS)无差异(分别为55.0%和67.1%;p = 0.266)。接受PBAC的患者总生存期(OS)往往比未接受PBAC的患者差(分别为56.1%和70.2%;p = 0.138)。PBAC对OS无预后价值(风险比(HR)为2.11;95%置信区间(CI)为0.82%-5.40%;p = 0.120)。

结论

在单机构经验中,PBAC并未改善病理Ⅱ期或Ⅲ期SCC患者的预后。