Second-line Chemotherapy for Patients with Small Cell Lung Cancer and Interstitial Lung Disease.

Abstract:

BACKGROUND:The safety and efficacy of second-line chemotherapy for treating patients with small cell lung cancer (SCLC) and interstitial lung disease (ILD) have not been elucidated to date. PATIENTS AND METHODS:Between January 2005 and September 2013, we analyzed 23 patients with SCLC and ILD who received second-line chemotherapy. Pre-existing ILD was diagnosed according to clinical features and pretreatment chest high-resolution computed tomography results. RESULTS:The overall objective response rates and disease control rates were 22% and 52%, respectively. The median respective durations of progression-free survival and overall survival were 2.1 months (95% confidence interval (CI)=2.0-3.0 months) and 7.1 months (95% CI=3.6-11.3 months), respectively. Three patients with unusual interstitial pneumonia pattern (13%) developed chemotherapy-related pneumonitis. CONCLUSION:Second-line treatment may be an effective and safe option for SCLC patients with ILD after sufficient evaluation of risks and benefits.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Fujimoto D,Shimizu R,Kato R,Sato Y,Kogo M,Ito J,Teraoka S,Otoshi T,Nagata K,Nakagawa A,Otsuka K,Katakami N,Tomii K

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

6261-6

issue

11

eissn

0250-7005

issn

1791-7530

pii

35/11/6261

journal_volume

35

pub_type

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