Thoracoscopic Lobectomy: A Safe and Effective Strategy for Patients Receiving Induction Therapy for Non-Small Cell Lung Cancer

2006 ◽  
Vol 82 (1) ◽  
pp. 214-219 ◽  
Author(s):  
Rebecca P. Petersen ◽  
DuyKhanh Pham ◽  
Eric M. Toloza ◽  
William R. Burfeind ◽  
David H. Harpole ◽  
...  
Lung Cancer ◽  
2004 ◽  
Vol 46 (1) ◽  
pp. 125-126
Author(s):  
Stefano Margaritora ◽  
Alfredo Cesario ◽  
Domenico Galetta ◽  
Venanzio Porziella ◽  
Silvia Sterzi ◽  
...  

2013 ◽  
Vol 8 (5) ◽  
pp. 637-643 ◽  
Author(s):  
Giulio Maurizi ◽  
Antonio D'Andrilli ◽  
Marco Anile ◽  
Anna Maria Ciccone ◽  
Mohsen Ibrahim ◽  
...  

2017 ◽  
Vol 103 (1) ◽  
pp. 281-286 ◽  
Author(s):  
Mohamed K. Kamel ◽  
Mohamed Rahouma ◽  
Galal Ghaly ◽  
Abu Nasar ◽  
Jeffrey L. Port ◽  
...  

2000 ◽  
Vol 18 (14) ◽  
pp. 2658-2664 ◽  
Author(s):  
N. Van Zandwijk ◽  
E.F. Smit ◽  
G.W. P. Kramer ◽  
F. Schramel ◽  
S. Gans ◽  
...  

PURPOSE: Our objective was to better define the activity/feasibility of gemcitabine/cisplatin (GC) as induction chemotherapy in patients with stage IIIA N2 non–small-cell lung cancer (NSCLC) followed by surgery or radiotherapy within a large, ongoing comparative study (EORTC 08941). PATIENTS AND METHODS: Forty-seven chemotherapy-naive patients with NSCLC, median age of 58 years, stage IIIA N2 disease, World Health Organization performance status of 0 or 1, and the ability to tolerate a pneumonectomy received gemcitabine 1,000 mg/m2 on days 1, 8, and 15 and cisplatin 100 mg/m2 on day 2, every 4 weeks. Patients received induction chemotherapy (three cycles) before re-evaluation and randomization to surgery or radiotherapy. RESULTS: Grade 3/4 thrombocytopenia, the main hematologic toxicity, occurred in 60% of patients but was not associated with bleeding. Full-dose gemcitabine was given in 48% of the courses. Severe nonhematologic toxicity was uncommon. Two patients with preexisting, autoimmune pulmonary fibrosis had deterioration of pulmonary function after radiotherapy. Thirty-three (70.2%; 95% confidence interval, 55.1% to 82.7%) of the 47 eligible patients had objective responses (three complete responses and 30 partial responses). Mediastinal nodes were tumor-free after induction therapy in 53% of cases. Resections were considered complete in 71% of the patients who underwent thoracotomy after induction therapy. Median survival for all recruited patients (N = 53) was 18.9 months, with an estimated 1-year survival rate of 69%. CONCLUSION: In patients with N2 stage IIIA NSCLC, GC is a highly active and well-tolerated induction regimen. GC should be explored in combination with surgery or radiotherapy in stage I and II patients.


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