李艳丽, 苏学峰, 戴建平, 王鹤皋. 后程立体定向适形放射治疗加化疗治疗局限性晚期非小细胞肺癌的临床探讨[J]. 中国肿瘤临床, 2005, 31(6): 338-340.
引用本文: 李艳丽, 苏学峰, 戴建平, 王鹤皋. 后程立体定向适形放射治疗加化疗治疗局限性晚期非小细胞肺癌的临床探讨[J]. 中国肿瘤临床, 2005, 31(6): 338-340.
Li Yanli, Su Xuefeng, Dai Jianping, Wang Hegao. Clinical Evaluation on Late Course Stereotactic Conformal Radiotherapy with Chemotherapy for Partial Advanced Stage Non-small Cell Lung Carcinoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2005, 31(6): 338-340.
Citation: Li Yanli, Su Xuefeng, Dai Jianping, Wang Hegao. Clinical Evaluation on Late Course Stereotactic Conformal Radiotherapy with Chemotherapy for Partial Advanced Stage Non-small Cell Lung Carcinoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2005, 31(6): 338-340.

后程立体定向适形放射治疗加化疗治疗局限性晚期非小细胞肺癌的临床探讨

Clinical Evaluation on Late Course Stereotactic Conformal Radiotherapy with Chemotherapy for Partial Advanced Stage Non-small Cell Lung Carcinoma

  • 摘要: 目的:探讨后程立体定向适形放射治疗加化疗治疗局限性晚期非小细胞肺癌的疗效及患者的耐受性.方法:48例患者于治疗前4周行常规分割放射治疗,每天2Gy,每周5次,DT 40Gy,后2周针对肿瘤局部行立体定向适形放射治疗,DT 24Gy~30Gv(分割剂量4Gy~5Gy,每周3次),与此同时,于第1周和第5周采用NP方案共2周期,异长春碱(NVB):25mg/m2第1和第8天静脉推注,顺铂(DDP):30mg第1至第3天静脉滴注.结果:全部患者均能完成治疗计划,CR 16.7%,PR 75.0%,总有效率(CR+PR)91.7%.1、2、3年局控率分别为87.5%、50.0%和35.7%,1、2、3年生存率分别为87.5%、46.7%和28.6%,急性造血系统和胃肠道的反应较重,对症处理后均能耐受.结论:后程立体定向适形放射治疗加化疗治疗局限性晚期非小细胞肺癌有提高总生存率的趋势.

     

    Abstract: Objective :To evaluate the curative effect and patient's tolerance on late coursestereotactic conformal radiotherapy with chemotherapy for partial advanced stage non-small cell lung carcinoma. Methods :Forty-eight patients were treated with the conventional fractionation radiotherapy2Gy daily, 5 times a week, Dt 40Gy in the first 4 weeks and with stereotactic conformal radiotherapy to the primary tumor in the final 2 weeks, Dt 24Gy30Gy (4Gy5Gy fraction Dose, 3 times a week), at the same time, chemotherapy (NP scheme) given 2 period, in the first and the fifth weeks, NVB 25mg/m2 intravenous injection at the first and the eighth days, DDP 30mg from the first to the third days intravenous drip. Results :All patients can fulfil the treatment plan. CR was 16.7% and PR was 75.0%. The overall response (CR+PR) was 91.7%.One -year, two year and three-year local control rates were 87.5%,50.0% and 35.7% respectively. The 1 -year, 2 -year and 3 -year survival rate were 87.5%,46.7% and 28.6%,respectively. The acute hematological toxicities (such as leukopenia) and gastroin testinal toxicities were more severe, but well tolerated after symptomatic treatment. Conclusions :There is a tendency to increase the overall survival rate on late course stereotactic conformal radiotherapy with chemotherapy for partial advanced stage non-small cell lung carcinoma.

     

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