Evaluation of a treatment strategy for optimising preoperative chemoradiotherapy in stage III non-small-cell lung cancer☆☆☆
Author(s) -
Erik C.J. Phernambucq,
F. Spoelstra,
Marinus A. Paul,
Suresh Senan,
Christian F. Melissant,
Pieter E. Postmus,
Egbert F. Smit
Publication year - 2009
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1016/j.ejcts.2009.05.025
Subject(s) - medicine , mediastinoscopy , chemoradiotherapy , radiation therapy , stage (stratigraphy) , induction chemotherapy , lung cancer , gemcitabine , surgery , esophageal cancer , esophagectomy , radiology , cancer , oncology , chemotherapy , paleontology , biology
Concurrent chemoradiotherapy is standard of care in stage III non-small-cell lung cancer, although surgery may be beneficial in selected patients in whom induction therapy has achieved 'down-staging' of mediastinal nodal disease. Previous studies incorporated treatment 'splits' for re-evaluation, and such gaps lead to poorer survival in patients undergoing chemoradiotherapy. We describe the outcome of a treatment strategy to limit the duration of treatment splits.
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