Endostatins combined radiotherapy and chemotherapy in the treatment of advanced non-small cell lung cancer
ZHANG Lei, CAO Yong
2014, 41 (12):
941-945.
doi: 10.3760/cma.j.issn.1673-422X.2014.12.019
ObjectiveTo preliminary study clinical efficacy and toxicity of endostatin (ES) combined radiotherapy and chemotherapy in advanced nonsmall cell lung cancer (NSCLC), and evaluate its effectiveness and safety. MethodsWe retrospectively reviewed 64 patients with ⅢBⅣ stage NSCLC of Harbin Medical University Cancer Hospital from February 2009 to February 2012.The patients were divided into two groups:chemoradiotherapy group, 39 patients and ES add chemoradiotherapy group, 25 patients. The shortterm effect, the total efficiency, median survival time, progressionfree survival time and diseasefree survival time were compared. ResultsThe total effective rate of chemoradiotherapy group was 76.9%, while the total effective rate of ES add chemotherapy group was 84.0%(χ2=0.47, P=0.492). Chemoradiotherapy group, compared to ES add chemotherapy group, the median survival time, median progressionfree survival time, median diseasefree survival time were 11.52 months vs 16.51 months (χ2=3.74, P=0.042), 7.32 months vs 10.37 months (χ2=5.32, P=0.025) and 5.21 months vs 7.57 months (χ2=4.56, P=0.035)respectively. The mainly adverse drug reactions were hematologic toxicity and gastrointestinal reactions, but there were no significant differences between the two groups; radiotherapy side effects mainly showed the grade 1 to 2 radiationinduced lung injury and radiation esophagitis (chemotherapy group had one case of grade 3 radiationinduced lung injury), but also had no significant differences between the two groups. ConclusionES combined chemoradiotherapy can achieve a better shortterm clinical efficacy without increasing adverse effects of radiotherapy or chemotherapy in advanced nonsmall cell lung cancer.
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