Curative effect of iodine125 brachytherapy and concurrent chemoradiotherapy for middle and advanced stage nonsmall cell lung cancer

doi:10.3760/cma.j.issn.1673-422X.2017.10.005

Abstract

Abstract: ObjectiveTo review the efficacy and safety of combination of iodine125 brachytherapy and concurrent chemoradiotherapy for middle and advanced stage nonsmall cell lung cancer (NSCLC). MethodsEightytwo cases of peripheral NSCLC patients were divided into the experimental group (n=32) and the control group (n=50) by different treatment methods. The patients in experimental group were treated by iodine125 brachytherapy combined with concurrent chemoradiotherapy, and the patients in control group were treated by concurrent chemoradiotherapy. The two groups were treated with helical tomotherapy, and the chemotherapy regimen was PC regimen (paclitaxel + cisplatin) or TP regimen (taxotere + cisplatin). The response rate (RR), progression free survival (PFS), overall survival (OS) and adverse reactions were observed. ResultsThe RR of experimental group and control group was 87.5% and 76.0%, and the difference was not statistically significant (χ2=0.992, P=0.319). The median PFS was 16 months and 11 months, and the difference was statistically significant (χ2=5.216, P=0.022). The median OS was 26 months and 19 months, and the difference was not statistically significant (χ2=1.085, P=0.298). There were no statistically significant differences of the occurrence rates of adverse reactions in the experimental group and the control group such as radioactive pneumonia (18.75% vs. 24.00%, χ2=0.314, P=0.575), radiation esophagitis (25.00% vs. 30.00%, χ2=0.242, P=0.623), digestive tract reaction (21.88% vs. 26.00%, χ2=0.180, P=0.671), bone marrow suppression (12.50% vs. 16.00%, χ2=0.014, P=0.907) and hemopneumothorax (6.25% vs. 0, P=0.149). ConclusionThe combination of iodine125 brachytherapy with concurrent chemoradiotherapy is a safe and effective treatment for middle and advanced stage NSCLC, which is worthy of further research and promotion.

Key words: Lung neoplasms, Radiotherapy, Drug therapy, Iodine125 brachytherapy

Sun Ying, Wang Ning, Guo Zhanwen, Yan Ying. Curative effect of iodine125 brachytherapy and concurrent chemoradiotherapy for middle and advanced stage nonsmall cell lung cancer[J]. Journal of International Oncology, 2017, 44(10): 740-744.

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