THE ROLE OF ADJUVANT SURGERY IN THE COMBINED MODALITY THERAPY OF SMALL-CELL BRONCHOGENIC-CARCINOMA AFTER A CHEMOTHERAPY-INDUCED PARTIAL REMISSION

被引:19
作者
HOLOYE, PY [1 ]
MCMURTREY, MJ [1 ]
MOUNTAIN, CF [1 ]
MURPHY, WK [1 ]
DHINGRA, HM [1 ]
UMSAWASDI, T [1 ]
GLISSON, BS [1 ]
LEE, JS [1 ]
CARR, DT [1 ]
VALDIVIESO, M [1 ]
HONG, WK [1 ]
机构
[1] UNIV TEXAS,MD ANDERSON HOSP & TUMOR INST,CTR CANC,DEPT THORAC SURG,HOUSTON,TX 77030
关键词
D O I
10.1200/JCO.1990.8.3.416
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Twenty-six patients with a limited-disease presentation of small-cell bronchogenic carcinoma (SCBC) had surgery after achieving a partial remission with three cycles of chemotherapy. Persistent SCBC was found in 15 patients (58%), non-small-cell bronchogenic carcinoma (NSCBC) in six patients (23%), and no malignancy in five patients (19%). Twelve patients have died since surgery. Tumor-node-metastasis (TNM) staging prior to or after chemotherapy was not predictive of outcome, but an N0 status found at pathological examination of the surgical specimen was predictive of long-term survival. Median survival for this group of patients was 25 months. Adjuvant surgery is feasible and may be beneficial.
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收藏
页码:416 / 422
页数:7
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