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.
引用
收藏
页码:416 / 422
页数:7
相关论文
共 26 条
[21]  
ROSEN G, 1982, CANCER-AM CANCER SOC, V49, P1221, DOI 10.1002/1097-0142(19820315)49:6<1221::AID-CNCR2820490625>3.0.CO
[22]  
2-E
[23]  
SHEPHERD F, 1988, P AN M AM SOC CLIN, V7, P196
[24]   ADJUVANT CHEMOTHERAPY FOLLOWING SURGICAL RESECTION FOR SMALL-CELL CARCINOMA OF THE LUNG [J].
SHEPHERD, FA ;
EVANS, WK ;
FELD, R ;
YOUNG, V ;
PATTERSON, GA ;
GINSBERG, R ;
JOHANSEN, E .
JOURNAL OF CLINICAL ONCOLOGY, 1988, 6 (05) :832-838
[25]  
SHIELDS TW, 1982, J THORAC CARDIOV SUR, V84, P481
[26]   SURGERY AFTER INITIAL CHEMOTHERAPY FOR LOCALIZED SMALL-CELL CARCINOMA OF THE LUNG [J].
WILLIAMS, CJ ;
MCMILLAN, I ;
LEA, R ;
MEAD, G ;
THOMPSON, J ;
SWEETENHAM, J ;
HERBERT, A ;
JEFFERYS, M ;
BUCHANAN, R ;
WHITEHOUSE, JM .
JOURNAL OF CLINICAL ONCOLOGY, 1987, 5 (10) :1579-1588