期刊文献+

低分割放疗联合吉非替尼治疗老年非小细胞肺癌疗效观察 被引量:9

Clinical efficacy of hypofractionated high-dose radiotherapy combined with gefitinib for the elderly non-small cell lung cancer
暂未订购
导出
摘要 目的探讨三维适形低分割放疗联合吉非替尼治疗老年非小细胞肺癌(NSCLC)的疗效及不良反应。方法对27例老年NSCLC患者实施低分割放疗联合吉非替尼治疗,分割方案:2.5Gy/d、5f/w,总剂量:35~55Gy;口服吉非替尼250mg,1次/日。结果3个月近期有效率(CR+PR)66.7%,1年生存率63.OVoo;放射性肺炎发生率25.9%,放射性食管炎发生率29.6%,皮疹发生率37.O%,腹泻发生率22.2%。结论三维适形低分割放疗联合吉非替尼治疗安全有效,不良反应未见明显增加。 Objective To investigate the efficacy and toxicity of three-dimensional eonformal radiotherapy com- bined with gefitinib in elderly NSCLC. Methods 27 eases of elderly NSCLC patients were analyzed. Results The effica- cy rate was 66, 7%. 1-year survival rates were 63.0%, The incidence of radiation pneumonitis was 25.9%. The inci- dence of radiation esophagitis was 29.6%. The incidence of rash was 37.0% ,and the incidence of diarrhea was 22.2%. Conclusion The three-dimensional eonformal Hypofraetionated high-dose radiotherapy combined with gefitinib for elderly non-small cell lung cancer is safely and definitely,
机构地区 解放军第
出处 《西部医学》 2013年第9期1312-1315,共4页 Medical Journal of West China
基金 陕西省自然科学基金资助项目(2012JM4008)
关键词 老年非小细胞肺癌 吉非替尼 低分割 Elderly Non-small cell lung eancer Gefitinib Hypofractionated high-dose
  • 相关文献

参考文献12

  • 1Gridelli C,Perrone F, Monafardini S. Lung cancer in the elderly [J]. Eur J Cancer, 1997,33 : 2313-2314.
  • 2Nyman J, Johansson KA, Hulten U. Stereotactic hypofraction- ated radiotherapy for stage I non-small cell lung cancer-mature results for medically inoperable patients[J]. Lung Cancer,2006, 51(1) :97-103.
  • 3朱向帜,王绿化,欧广飞,周宗玫,陈东福,肖泽芬,冯勤付,张红星,汪楣,殷蔚伯.三维适形放射治疗局部晚期非小细胞肺癌预后因素分析[J].中华肿瘤杂志,2007,29(10):748-753. 被引量:23
  • 4吴国明,范晔.晚期非小细胞肺癌靶向治疗研究进展及思考[J].西部医学,2012,24(1):1-4. 被引量:25
  • 5Sirotnak FM. Studies with ZD1839 in preclinical modls[J]. Se- min Oncol,2003,30(Suppl 1) :12-20.
  • 6Ritter CA, Arteaga CL. The epidermal growth factor recep-tor- tyrosine kinase..a promisin therapeutic targei in solid tumors[J]. Semin Oncol, 2003,30(Suppl 1) :3-11.
  • 7Chang A,Parikh P, Thongprasert S,et al. Gefitinib (IRESSA) in patients of Asian origin with refractory advanced non-small cell lung cancer: subset analysis from the ISEL study[J]. J Thorac Oncol, 2006,1(8) : 847-855.
  • 8Chen Gy, Jiang GL,QianH, et al . Escalated hyperfractionated accelerated radiation therapyfor locallyacvanced non-small cell lung cancer: a clinical pyase O trial[J]. Radiother Oncel, 2004, 71: 157-162.
  • 9陈红,张瑞虹,杜改萍,刘秀艳,翟力军,部春芳.三维适形放疗联合吉非替尼治疗老年非小细胞肺癌的疗效[J].中国老年学杂志,2011,31(21):4131-4132. 被引量:19
  • 10周剑平,高蓓莉.老年晚期非小细胞肺癌患者药物治疗现状和趋势[J].中国肺癌杂志,2011,14(7):598-605. 被引量:8

二级参考文献91

  • 1王颖杰,王绿化,王鑫,冯勤付,张红星,肖泽芬,殷蔚伯.91例非小细胞肺癌三维适形放疗的临床分析[J].中华放射肿瘤学杂志,2005,14(4):241-244. 被引量:49
  • 2陈玲,陈强,叶韵斌.吉非替尼敏感性预测指标的研究现状[J].中国新药与临床杂志,2006,25(11):864-868. 被引量:9
  • 3赵新汉,张晓智,常柏玲,等.肿瘤多学科综合治疗[M].西安:第四军医大学出版社,2007:626-627.
  • 4殷惠军,史大卓,张培彤,等.老年恶性肿瘤[M].北京:人民军医出版社,2010:427.
  • 5Ling Yang, Maxwell P, Jacques F, et al. Estimates of cancer incidence in China for 2000 and projections for 2005. Biomarkers Prev, 2005, 14(1): 243-250.
  • 6Owonikoko TK, Ragin CC, Belani CP, et al. Lung cancer in elderly patients: an analysis of the surveillance, epidemiology, and end results database.J Clin Oncol, 2007, 25(35): 5570-5577.
  • 7Koumarianou A, Fountzilas G, Kosmidis P, et al. Non small cell lung cancer in the elderly: clinico-pathologic, management and outcome characteristics in comparison to younger patients. J Chemother, 2009, 21(5): 573-583.
  • 8Altundag O, Stewart DJ, Fossella FV, et al. Many patients 80 years and older with advanced non-small cell lung cancer (NSCLC) can tolerate chemotherapy.J "Ihorac Oncol, 2007, 2(2): 141-146.
  • 9Hainsworth JD, Spigel DR, Farley C, et al. Weekly docetaxel versus docetaxel/gemcitabine in the treatment of elderly or poor performance status patients with advanced nonsmall cell lung cancer: a randomized phase 3 trial of the Minnie Pearl Cancer Research Network. Cancer, 2007, 110(9): 2027-2034.
  • 10Q uoix E, Monnet I, Scheid P, et al. Management and outcome of French elderly patients with lung cancer: an IFCT survey. Rev Mal Respir, 2010, 27 (5): 421-430.

共引文献71

同被引文献93

  • 1Nicolls MR,Haskins K,Flores SC. Oxidant stress,immune dysregu- lation,and vascular function in type I diabetes[ J ]. Antioxid Redox Signal,2012,9(7 ) :879 - 889.
  • 2Gokce N,Vita JA, Mc Donnell M,et al. Effect of medical and surgi- cal weight losson endothelial vasomotor function in obese patients [J]. Am J Cardiol,2011,95(2) :266 -268.
  • 3Ltcif AA, Han K, Mather K]. Obesity ' insulin resistance, and the metabolic syndrome: determinants of endothelial dysfunction in whites and blacks[Jl. Circulation,2013,112(1) :32 -38.
  • 4Kim ES, Hirsh V,Mok T, et al. Gefitinib versus docetaxel in previ-ously treated non-small-cell lung cancer (INTEREST) : a randomizedphase Iff trial [J]. Lancet,2008,372(9652) ; 1809-1818.
  • 5Mok TS, Wu YL, Thongprasert S, et al. Gefitinib or carboplatin-paclitaxei in pulmonary adenocarcinoma[ J]. N Engi J Med,2009,361(10): 947-957.
  • 6Stebbing J, Harrison M, Glynne-Jones R, et al. A phase II study todetermine the ability of gefitinib to reverse fluoropyrimidine resistancein metastatic colorectal cancer (the INFORM study) [ J] . Br J Can-cer, 2008,98(4) : 716-719.
  • 7Mitsudomi T, Morita S, Yatabe Y,et al. Gefitinib versus cisplatinplus docetaxel in patients with non-small-cell lung cancer harbouringmutations of the epidermal growth factor receptor ( WJTOG3405 ) : anopen label, randomized phase 3 trail[ J]. Lancet Oncol, 2010,11(2): 121-128.
  • 8Giaccone G, Herbst RS, Manegold C, et al. Gefitinib in combinationwith gemcitabine and cisplatin in advanced non-small-cell lung can-cer: a phase DI trail-INTACT 1 [ J]. J Clin Oncol,2004, 22(5 );777-784.
  • 9with paclitaxel and carboplatin in advanced non-small-cell lung can-cer: a phase I trail-INTACT 2 [ J ]. J Clin Oncol, 2004,22(5):785-794.
  • 10Chang CC, Chi KH, Kao SJ, et al. Upfront gefitinib/erlotinib treat-ment followed by concomitant radiotherapy for advanced lung cancer:a mono-institutional experience [ J ] . Lung Cancer, 2011, 73 (2):189-194.

二级引证文献56

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部