Palazzi M, Valdagni R, Poli M, Buffoli A, Leoni M, Vavassori V, Di Lorenzo I, Corbella F, Nava S, Cazzaniga L F
Department of Radiotherapy, Istituto Nazionale Tumori, Milano.
Tumori. 1994 Aug 31;80(4):286-9. doi: 10.1177/030089169408000409.
The role of radiotherapy in the treatment of stage III non-small cell lung cancer is controversial. The aim of this survey was to investigate the use of this modality in current clinical practice in Lombardy, a highly industrialized region of northern Italy.
A questionnaire was sent to all 13 radiotherapy centers in Lombardy, covering statistical, clinical, technical and strategical aspects, and the responses were analyzed.
A wide range of attitudes was observed among participating radiation oncologists; the percentage of cases treated with curative intent varied largely between centers (4-100%), as did the proportion of patients given to radiation only rather than combined modality treatment (5-100% vs 0-90%).
An urgent need exists for better cooperation between all clinicians involved in lung cancer treatment, pursuing the goals of a more uniform clinical practice and a more aggressive clinical research attitude.
放射治疗在Ⅲ期非小细胞肺癌治疗中的作用存在争议。本调查旨在研究在意大利北部高度工业化的伦巴第大区当前临床实践中这种治疗方式的使用情况。
向伦巴第大区的所有13个放射治疗中心发送了一份问卷，涵盖统计、临床、技术和策略方面，并对回复进行了分析。
参与调查的放射肿瘤学家表现出广泛的态度差异；各中心以治愈为目的治疗的病例百分比差异很大（4% - 100%），仅接受放疗而非联合治疗的患者比例也如此（5% - 100% 对 0% - 90%）。
迫切需要参与肺癌治疗的所有临床医生之间加强合作，以实现更统一的临床实践和更积极的临床研究态度。
