Radiotherapy for small-cell lung cancer-Where are we heading?

被引:33
作者
Bayman, N. A. [1 ]
Sheikh, H. [1 ]
Kularatne, B. [2 ]
Lorigan, P. [2 ]
Blackhall, F. [2 ]
Thatcher, N. [2 ]
Faivre-Finn, C. [1 ]
机构
[1] Christie Hosp NHS Fdn Trust, Dept Clin Oncol, Manchester M20 4BX, Lancs, England
[2] Christie Hosp NHS Fdn Trust, Dept Med Oncol, Manchester M20 4BX, Lancs, England
关键词
Small-cell lung cancer; Radiotherapy; Thoracic radiotherapy; Fractionation; Prophylactic cranial irradiation; Review; THORACIC RADIATION-THERAPY; COMBINED-MODALITY TREATMENT; PHASE-III TRIAL; PROPHYLACTIC CRANIAL IRRADIATION; LEUKEMIA GROUP-B; LIMITED-STAGE; CONCURRENT CHEMOTHERAPY; CHEST RADIOTHERAPY; RANDOMIZED-TRIAL; PROGNOSTIC-FACTORS;
D O I
10.1016/j.lungcan.2008.06.013
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Radiotherapy has an established role in the management of limited-disease small-cell lung cancer. However, essential questions related to the optimisation of thoracic radiotherapy remain unanswered including (i) optimal total dose, (ii) fractionation, (iii) timing and sequencing of radiation, (iv) volume of irradiation, and (v) concurrent chemotherapy combinations. The role of thoracic radiotherapy for extensive-disease small-cell lung cancer is more poorly understood but evidence suggests radiotherapy may have an important role in this setting. This review highlights the need for well-designed multi-national trials aimed at the optimisation and standardisation of radiotherapy for SCLC. (c) 2008 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:307 / 314
页数:8
相关论文
共 81 条
[1]   DETERMINANTS OF IMPROVED OUTCOME IN SMALL-CELL LUNG-CANCER - AN ANALYSIS OF THE 2,580-PATIENT SOUTHWEST ONCOLOGY GROUP DATA-BASE [J].
ALBAIN, KS ;
CROWLEY, JJ ;
LEBLANC, M ;
LIVINGSTON, RB .
JOURNAL OF CLINICAL ONCOLOGY, 1990, 8 (09) :1563-1574
[2]   Prophylactic cranial irradiation for patients with small-cell lung cancer in complete remission [J].
Aupérin, A ;
Arriagada, R ;
Pignon, JP ;
Le Péchoux, C ;
Gregor, A ;
Stephens, RJ ;
Kristjansen, PEG ;
Johnson, BE ;
Ueoka, H ;
Wagner, H ;
Aisner, J .
NEW ENGLAND JOURNAL OF MEDICINE, 1999, 341 (07) :476-484
[3]   Concurrent chemotherapy (carboplatin, paclitaxel, etoposide) and involved-field radiotherapy in limited stage small cell lung cancer: a Dutch multicenter phase II study [J].
Baas, P ;
Belderbos, JSA ;
Senan, S ;
Kwa, HB ;
van Bochove, A ;
van Tinteren, H ;
Burgers, JA ;
van Meerbeeck, J .
BRITISH JOURNAL OF CANCER, 2006, 94 (05) :625-630
[4]   Current trends in prophylactic cranial irradiation (PCI) for extensive-disease small cell lung cancer (EDSCLC): Results of a UK survey [J].
Bayman, N. ;
Lorigan, P. ;
Blackhall, F. ;
Thatcher, N. ;
Faivre-Finn, C. .
JOURNAL OF CLINICAL ONCOLOGY, 2008, 26 (15)
[5]   Reply: Patterns of nodal recurrence after omission of elective nodal irradiation for limited-stage small-cell lung cancer [J].
Belderbos, J. ;
Baas, P. ;
Senan, S. .
BRITISH JOURNAL OF CANCER, 2007, 97 (02) :276-276
[6]  
BELDERBOS J, 2000, LUNG CANCER S1, V29, P96
[7]  
BLEEHEN NM, 1983, CANCER TREAT REP, V67, P11
[8]   70 GY thoracic radiotherapy is feasible concurrent with chemotherapy for limited-stage small-cell lung cancer: Analysis of cancer and leukemia group B study 39808 [J].
Bogart, JA ;
Herndon, JE ;
Lyss, AP ;
Watson, D ;
Miller, AA ;
Lee, ME ;
Turrisi, AT ;
Green, MR .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2004, 59 (02) :460-468
[9]   Phase III comparison of twice-daily split-course irradiation versus once-daily irradiation for patients with limited stage small-cell lung carcinoma [J].
Bonner, JA ;
Sloan, JA ;
Shanahan, TG ;
Brooks, BJ ;
Marks, RS ;
Krook, JE ;
Gerstner, JB ;
Maksymiuk, A ;
Levitt, R ;
Mailliard, JA ;
Tazelaar, HD ;
Hillman, S ;
Jett, JR .
JOURNAL OF CLINICAL ONCOLOGY, 1999, 17 (09) :2681-2691
[10]   CHEMOTHERAPY ALONE OR CHEMOTHERAPY WITH CHEST RADIATION-THERAPY IN LIMITED STAGE SMALL-CELL LUNG-CANCER - A PROSPECTIVE, RANDOMIZED TRIAL [J].
BUNN, PA ;
LICHTER, AS ;
MAKUCH, RW ;
COHEN, MH ;
VEACH, SR ;
MATTHEWS, MJ ;
ANDERSON, AJ ;
EDISON, M ;
GLATSTEIN, E ;
MINNA, JD ;
IHDE, DC .
ANNALS OF INTERNAL MEDICINE, 1987, 106 (05) :655-662