The Results of Concomitant and Sequential Chemoradiotherapy With Cisplatin and Etoposide in Patients With Locally Advanced Non-Small Cell Lung Cancer

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dc.contributor.authorSaynak, Mert
dc.contributor.authorAksu, G.
dc.contributor.authorFayda, Merdan
dc.contributor.authorKaytan, Esra
dc.contributor.authorOral, Ethem Nezih
dc.contributor.authorGürocak, S.
dc.contributor.authorKizir, Ahmet
dc.contributor.authorKaradeniz, Aral
dc.date.accessioned2020-03-26T16:59:00Z
dc.date.available2020-03-26T16:59:00Z
dc.date.issued2005
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractPurpose: To report on the treatment results and demographic characteristics of patients with locally advanced non small cell lung carcinoma (NSCLC) who were treated with concomitant or sequential chemoradiotherapy. Patients and methods: 132 patients with locally advanced NSCLC (stage IIIB) were evaluated Their median age was 60 years (range 33-80). Histopathological diagnosis was epidermoid carcinoma in 96 (73%) patients, adenocarcinoma in 33 (25%) patients and large cell carcinoma in 3 (2%) patients. Karnofsky performance status (KPS) score was ? 70 in 112 (85%) patients. Weight loss was greater than 5% in 34 (26%) patients at presentation. One hundred and six (80%)patients were treated with sequential chemoradiotherapy which consisted of 3 monthly cycles of cisplatin (100 mg/m2, day 1) and etoposide (100 mg/m2/day, days 1-3) before radiotherapy. Radiotherapy consisted of a total dose of 60 Gy in 30 fractions (2 Gy/fraction), given to a volume including primary tumor and mediastinum. Two to 4 cycles of chemotherapy were administered after completion of radiotherapy to patients whose disease had not progressed after initial chemotherapy. Twenty-six patients were treated with concomitant chemoradiotherapy. The same radiotherapy regimen was started with the 2nd cycle of chemotherapy which consisted of cisplatin (80 mg/m2, day 1) and etoposide (100 mg/m2/day, days 1-3). Chemotherapy was completed after 4 cycles in all patients. Results: Overall survival (OS) was 14.5 months in 106 patients treated with sequential chemoradiotherapy and 14.6 months in 26 patients treated with concomitant chemoradiotherapy (p=0.99). Median time to progression was 9.77 months in the concomitant group and 11.6 months in the sequential group (p=0.47). However progression-free survival was better in patients of both groups whose KPS was > 70 (12.4 months versus 11.5 months, p=0.02). While presence of anemia was found as an adverse prognostic factor only in univariate analysis, non-epidermoid histology, KPS less than 70 and presence of N2-N3 disease were found as adverse prognostic factors in both univariate and multivariate analysis. Conclusion: The addition of chemotherapy to radiation concomitantly or sequentially prolongs survival in locally advanced NSCLC patients with acceptable adverse event profiles in both arms compared with results of the trials in the literature in which radiotherapy is used as single treatment modality.en_US
dc.identifier.citationSaynak, M., Aksu, G., Fayda, M., Kaytan, E., Oral, E., Gürocak, S., Kizir, A., Karadeniz, A., (2005). The Results of Concomitant and Sequential Chemoradiotherapy With Cisplatin and Etoposide in Patients With Locally Advanced Non-Small Cell Lung Cancer. Journal of B.U.ON., 10(2), 213-218.
dc.identifier.endpage218en_US
dc.identifier.issn1107-0625en_US
dc.identifier.issue2en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage213en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12395/20050
dc.identifier.volume10en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.relation.ispartofJournal of B.U.ON.en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectChemoradiotherapyen_US
dc.subjectConcomitanten_US
dc.subjectNon-small cell lung canceren_US
dc.subjectSequentialen_US
dc.titleThe Results of Concomitant and Sequential Chemoradiotherapy With Cisplatin and Etoposide in Patients With Locally Advanced Non-Small Cell Lung Canceren_US
dc.typeArticleen_US

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