Early-stage NSCLC the renaissance of radiotherapy in early-stage non-small cell lung cancer Journal Article


Authors: Girard, N.; Mornex, F.
Article Title: Early-stage NSCLC the renaissance of radiotherapy in early-stage non-small cell lung cancer
Abstract: Surgery is the current standard treatment of early-stage non-small cell lung cancer (stage I and II tumors). Contrary to adjuvant chemotherapy, which was recently demonstrated to decrease systemic tumor recurrences as well as increasing overall survival, postoperative radiotherapy did not benefit from an actualized evaluation including the recent evolutions in radiation concepts and techniques. Available reported data have thus to be cautiously interpreted, taking into consideration that radiotherapy as described in ancient reports has not much left in common with current radiation modalities and techniques. Given the efficacy of chemoradiation in locally advanced non-small cell lung cancer, investigators may take advantage of the ongoing reevaluation of the role of postoperative radiotherapy to consider combinations with chemotherapy a potential therapeutic strategy in this setting. Moreover, technical improvements in radiation delivery, including stereotactic radiotherapy, allow the future development of new indications in early-stage tumors. More than ever, radiotherapy is one of the most promising therapeutic option for lung cancer. © 2008 SPLF. Édité par Elsevier Masson SAS.
Keywords: cancer chemotherapy; cancer survival; treatment outcome; cancer surgery; histopathology; review; cisplatin; doxorubicin; multimodality cancer therapy; treatment planning; cancer radiotherapy; postoperative care; radiation dose; radiotherapy, adjuvant; follow up; neoplasm staging; treatment indication; tumor volume; etoposide; lung non small cell cancer; carcinoma, non-small-cell lung; lung neoplasms; radiotherapy; lung cancer; cyclophosphamide; clinical protocol; cancer mortality; patient care; disease severity; comorbidity; surgery; tobacco dependence; stereotactic treatment; respiratory function; iatrogenic disease; postoperative treatment; cobalt therapy; radiodensitometry; spinal anesthesia
Journal Title: Revue des Maladies Respiratoires
Volume: 25
Issue: 8 C-2
ISSN: 0761-8425
Publisher: Elsevier Masson  
Date Published: 2008-10-01
Start Page: 3S79
End Page: 3S87
Language: French
DOI: Rmr-10-2008-25-8-c2-01761-8425-101019-200720307
PUBMED: 18971830
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 1" - "Export Date: 17 November 2011" - "CODEN: RMREE" - "Source: Scopus"
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  1. Nicolas Gerald Girard
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