The role of radiotherapy in combined treatment of limited small cell lung cancer in relation to results of induction chemotherapy

Wiatr, E.; Bestry, I.; Dańczak-Ginalska, Z.; Starzyńska, T.; Zych, J.; Rowińska-Zakrzewska, E.

Pneumonologia i Alergologia Polska 63(7-8): 421-426

1995


ISSN/ISBN: 0867-7077
PMID: 8520561
Document Number: 443908
The comparison between results of chemotherapy (ChT) and ChT plus radiotherapy (RT) was performed in the group of 124 patients with limited SCLC. After induction ChT 25% pts obtained CR, 54%-PR and 21% did not respond. In 69 pts ChT was continued and in 55 others RT was added to ChT. The number of patients in whom tumor response was observed increased significantly after addition of RT to ChT. The degree of complete response had important impact on survival time. The pts who obtained CR had significantly longer survival time than those who achieved only PR or NR. Median survival time was very similar in both groups (13 months after ChT alone and 15 months after ChT plus RT). This was also true for the groups of patients who obtained CR after completion of treatment. Achievement of complete response is the most important factor for good prognosis. RT is indicated in those patients who achieved only PR after induction ChT.

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