Survival analysis of patients with small cell lung cancer.

S Serdengeçti, E Büyükünal, N Molinas, F H Demirelli, N Berkarda, H Eyüboğlu, U Derman, B Berkarda
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Abstract

The effects of different chemotherapy protocols on survival were evaluated in 197 small cell lung cancer patients followed-up between 1974 and 1987 in our unit. Of these, 170 patients had Stage IV disease and 24 had Stage III disease. Thoracic radiotherapy was given to 73 patients of whom 63 had Stage IV disease. Cytotoxic chemotherapy was given in four main protocols consisting of cyclophosphamide (CYC): CYC + vincristine (VCR); CYC + VCR + adriamycin (ADM) and CYC + VCR + ADM + lomustine (CCNU). The latter protocol was associated with the highest survival rates and differed significantly (p less than 0.05) from the others. In patients with extensive disease, both radiotherapy to the primary site and adjuvant immunomodulation in conjunction with the above chemotherapy regimens lacked any beneficial effect on survival.

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小细胞肺癌患者的生存分析。
我们对1974年至1987年间在我单位随访的197例小细胞肺癌患者进行了不同化疗方案对生存率的影响评估。其中,170名患者患有IV期疾病,24名患者患有III期疾病。73例患者接受胸部放疗,其中63例为IV期。细胞毒性化疗分为四个主要方案,包括环磷酰胺(CYC): CYC +长春新碱(VCR);CYC + VCR +阿霉素(ADM)和CYC + VCR + ADM +洛莫司汀(CCNU)。后一种方案与最高存活率相关,与其他方案差异显著(p < 0.05)。在广泛病变的患者中,原发部位放疗和辅助免疫调节结合上述化疗方案对生存没有任何有益的影响。
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