Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1997-6-26
pubmed:abstractText
Sixty-two patients with stage III non-small cell lung cancer (NSCLC) were treated with neoadjuvant chemotherapy consisting of cisplatin 120 mg/m2 day 1, mitomycin 8 mg/m2 day 1, and vindesine 3 mg/m2 days 1 and 14. Each cycle was repeated every 4 weeks for a total of 1 to 6 cycles (median, 3 cycles). Resection was attempted 4 to 5 weeks after the last course of chemotherapy. Intraoperative radiation therapy (IORT) (10-15 Gy) was delivered during surgery and postoperative external beam radiotherapy (EBRT) (46 Gy) was begun 4 weeks after surgery. Fifty-five patients (25 IIIA, 30 IIIB) were evaluable. Only partial responses occurred (64%), and 29 patients (53%) underwent resection. Complete resection rates were 85% (12/14) and 40% (6/15) in stage IIIA and IIIB, respectively (p = 0.01). In 3 of 29 patients (10%), no tumor was found in the resected specimen. There was one chemotherapy-related death and three postoperative-related deaths. The median survival time was 10 months, and the 5-year survival rate was 29 and 7% for stage IIIA and stage IIIB, respectively (p = 0.3). High complete resection rates and modest increase in 5-year survival have been observed in stage IIIA NSCLC. Although a number of stage IIIB patients can be made technically resectable, the low complete resectability rate reflects the lack of survival benefit in these patients.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0277-3732
pubmed:author
pubmed:issnType
Print
pubmed:volume
20
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
276-81
pubmed:dateRevised
2006-4-24
pubmed:meshHeading
pubmed-meshheading:9167753-Adult, pubmed-meshheading:9167753-Aged, pubmed-meshheading:9167753-Antibiotics, Antineoplastic, pubmed-meshheading:9167753-Antineoplastic Agents, Phytogenic, pubmed-meshheading:9167753-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:9167753-Carcinoma, Non-Small-Cell Lung, pubmed-meshheading:9167753-Chemotherapy, Adjuvant, pubmed-meshheading:9167753-Cisplatin, pubmed-meshheading:9167753-Female, pubmed-meshheading:9167753-Humans, pubmed-meshheading:9167753-Intraoperative Care, pubmed-meshheading:9167753-Lung Neoplasms, pubmed-meshheading:9167753-Male, pubmed-meshheading:9167753-Middle Aged, pubmed-meshheading:9167753-Mitomycins, pubmed-meshheading:9167753-Neoplasm Staging, pubmed-meshheading:9167753-Postoperative Care, pubmed-meshheading:9167753-Radiotherapy, Adjuvant, pubmed-meshheading:9167753-Survival Analysis, pubmed-meshheading:9167753-Treatment Outcome, pubmed-meshheading:9167753-Vindesine
pubmed:year
1997
pubmed:articleTitle
Cisplatin, mitomycin, and vindesine followed by intraoperative and postoperative radiotherapy for stage III non-small cell lung cancer: final results of a phase II study.
pubmed:affiliation
Department of Radiation Oncology, Clinica Universitaria de Navarra, University of Navarra, Pamplona, Spain.
pubmed:publicationType
Journal Article, Clinical Trial, Clinical Trial, Phase II