Matsui Yusuke, Iguchi Toshihiro, Tomita Koji, Uka Mayu, Sakurai Jun, Gobara Hideo, Kanazawa Susumu
Department of Radiology, Okayama University Medical School, Okayama, Japan.
Center for Innovative Clinical Medicine, Okayama University Hospital, Okayama, Japan.
Interv Radiol (Higashimatsuyama). 2020 Jun 10;5(2):43-49. doi: 10.22575/interventionalradiology.2020-0007. eCollection 2020 Jun 30.
This review summarizes the current findings on radiofrequency ablation (RFA) for stage I non-small cell lung cancer (NSCLC) from relevant literature published in the last decade. While most earlier studies included small populations and had short follow-up periods, more robust data have become available owing to prospective or large cohort studies. The reported overall survival rates after RFA for stage I NSCLC were 83-96%, 40-74%, and 23-61% at 1, 3, and 5 years, respectively, in recent studies. Furthermore, many comparative studies on the outcomes of RFA and stereotactic body radiotherapy have been performed. Most of these studies report no significant difference in survival outcomes between the therapies. Currently, major guidelines define RFA as a reasonable alternative treatment for stage I NSCLC in non-surgical candidates.
本综述总结了过去十年发表的相关文献中关于I期非小细胞肺癌(NSCLC)射频消融(RFA)的当前研究结果。虽然大多数早期研究纳入的人群较少且随访期较短,但由于前瞻性研究或大型队列研究,已有更可靠的数据。近期研究报告,I期NSCLC患者接受RFA治疗后1年、3年和5年的总生存率分别为83%-96%、40%-74%和23%-61%。此外,还进行了许多关于RFA与立体定向体部放疗结果的比较研究。这些研究大多报告两种治疗方法的生存结果无显著差异。目前,主要指南将RFA定义为非手术候选患者I期NSCLC的合理替代治疗方法。