DOES ADJUVANT CHEMOTHERAPY DECREASE DISTANT METASTASIS FORMATION IN PATIENTS WITH NONSMALL CELL LUNG-CANCER

被引:2
作者
GREEN, MR
机构
[1] University of California, San Diego, San Diego, CA 92103-8421, 225 Dickinson Street
关键词
NONSMALL CELL LUNG CANCER; DISTANT METASTASES; ADJUVANT CHEMOTHERAPY;
D O I
10.1016/0169-5002(94)91681-0
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Disseminated micrometastatic disease limits the effectiveness of even the most aggressive locoregional treatment strategies in patients with early stage non-small cell large cancer. One trial of the Lung Cancer Study Group (LCSG) demonstrated a significant decrease in the hazard rate for distant recurrence produced by adjuvant CAP chemotherapy after surgical resection and radiation therapy. French investigators found a significant decrease in distant metastases formation following sequential chemotherapy, radiation, and then additional chemotherapy compared to radiation alone in patients with stage III disease. However, other completed trials are either inconclusive, incompletely analyzed thus far or show no evidence of an effect of adjuvant chemotherapy on distant metastases. Additional data from recently completed or current trials will hopefully clarify the impact of adjuvant chemotherapy on distant micrometastases in patients with potentially curable non-small cell lung cancer (NSCLC).
引用
收藏
页码:S187 / S194
页数:8
相关论文
共 20 条
  • [1] Ayoub J, 1991, P AN M AM SOC CLIN, V10, P247
  • [2] AYOUB J, 1987, ADJUVANT THERAPY CAN, V5, P157
  • [3] A RANDOMIZED TRIAL OF INDUCTION CHEMOTHERAPY PLUS HIGH-DOSE RADIATION VERSUS RADIATION ALONE IN STAGE-III NON-SMALL-CELL LUNG-CANCER
    DILLMAN, RO
    SEAGREN, SL
    PROPERT, KJ
    GUERRA, J
    EATON, WL
    PERRY, MC
    CAREY, RW
    FREI, EF
    GREEN, MR
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1990, 323 (14) : 940 - 945
  • [4] DONNADIEU N, 1991, LUNG CANCER, V7, P243
  • [5] GREEN MR, 1991, LUNG CANCER, V7, P77
  • [6] SURGICAL ADJUVANT THERAPY FOR STAGE-II AND STAGE-III ADENOCARCINOMA AND LARGE-CELL UNDIFFERENTIATED CARCINOMA
    HOLMES, EC
    GAIL, M
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 1986, 4 (05) : 710 - 715
  • [7] LAD T, 1988, J CLIN ONCOL, V6, P9
  • [8] RADIOTHERAPY ALONE VERSUS COMBINED CHEMOTHERAPY AND RADIOTHERAPY IN NONRESECTABLE NON-SMALL-CELL LUNG-CANCER - 1ST ANALYSIS OF A RANDOMIZED TRIAL IN 353 PATIENTS
    LECHEVALIER, T
    ARRIAGADA, R
    QUOIX, E
    RUFFIE, P
    MARTIN, M
    TARAYRE, M
    LACOMBETERRIER, MJ
    DOUILLARD, JY
    LAPLANCHE, A
    [J]. JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE, 1991, 83 (06): : 417 - 423
  • [9] LECHEVALIER T, 1992, J NATL CANCER I, V84, P58
  • [10] THORACIC RADIATION-THERAPY ALONE COMPARED WITH COMBINED CHEMORADIOTHERAPY FOR LOCALLY UNRESECTABLE NON-SMALL CELL LUNG-CANCER - A RANDOMIZED, PHASE-III TRIAL
    MORTON, RF
    JETT, JR
    MCGINNIS, WL
    EARLE, JD
    THERNEAU, TM
    KROOK, JE
    ELLIOTT, TE
    MAILLIARD, JA
    NELIMARK, RA
    MAKSYMIUK, AW
    DRUMMOND, RG
    LAURIE, JA
    KUGLER, JW
    ANDERSON, RT
    [J]. ANNALS OF INTERNAL MEDICINE, 1991, 115 (09) : 681 - 686