Lung cancer therapy annual by Paul A Bunn, Heine H Hansen

By Paul A Bunn, Heine H Hansen

Lung melanoma treatment Annual outlines key facets in early analysis, category and staging, and studies extensive the present literature, discussing the most recent advancements in therapy and summarizing the newest info within the box of chemotherapy and biologic remedy.

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Johnson DH, Carbone DP, Increased dose-intensity in small-cell lung cancer: a failed strategy? J Clin Oncol 1999;17:2297–9. Murray N, Livingston RB, Shepherd FA et al, Randomized study of CODE versus alternating CAV/EP for extensive-stage small-cell lung cancer: an intergroup study of the National Cancer Institute of Canada Clinical Trials Group and the Southwest Oncology Group. J Clin Oncol 1999;17:2300–8. Pujol J-L, Douillard J-Y, Rivière A et al, Dose-intensity of a four-drug chemotherapy regimen with or without recombinant human granulocyte–macrophage colony-stimulating factor in extensive stage small-cell lung cancer: A multicenter randomized phase III trial.

58 For this reason, the use of granulocyte colony-stimulating factor (G-CSF) has been incorporated when using the three-drug combination of cisplatin and etoposide with either paclitaxel or topotecan in order to ameliorate toxicity. Randomized trials The cornerstone of the treatment of SCLC continues to be combination chemotherapy as developed in the 1970s, independent of whether the patient has limited or extensive disease. During the last decade, a combination including a platinum compound, often cisplatin and etoposide, has emerged as the most frequently used combination.

Of the 55 patients, 41 were aged 70 or above, including 4 patients aged over 80. A complete response occurred in 28 patients (51%; 95%CL ϭ 37–65) and a partial response in 21 (38%; 95%CL ϭ 25–52). The median survival time was 54 weeks with a 2-year survival rate of 28%; the actual 5-year survival rate was 18%. Three patients died from toxicity. The authors conclude that this group of patients, who are unable to receive standard-duration chemotherapy, may have useful palliation and potential for long-term survival with abbreviated chemotherapy (two cycles) and thoracic irradiation.

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