Prognostic Factors and Treatment of Early-stage Small-cell Lung Cancer.

Abstract:

BACKGROUND/AIM:Only 0.1-0.17% of all lung cancer patients are diagnosed with stage I or II small cell lung cancer (SCLC). Radiochemotherapy remains the standard treatment for limited stage disease. This study focused on prognostic factors in early stage SCLC treated with radiochemotherapy. PATIENTS AND METHODS:Seven factors in eight patients with early stage SCLC were analyzed concerning the impact on overall survival, namely gender, age, Karnofsky performance score, N-category, UICC-stage, concurrent chemotherapy and prophylactic cranial irradiation (PCI). RESULTS:Median overall survival was 46 months. On univariate analysis, UICC stage I (48 vs. 24 months, p=0.022) and PCI (48 vs. 20 months, p=0.004) were significantly associated with improved overall survival. On multivariate analysis, PCI was an independent positive prognostic factor (p<0.001). CONCLUSION:UICC stage and PCI were identified as significant predictors of survival in early stage SCLC. PCI qualified as an independent positive prognostic factor and should be administered in early-stage SCLC.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Käsmann L,Bolm L,Janssen S,Rades D

doi

10.21873/anticanres.11482

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

1535-1537

issue

3

eissn

0250-7005

issn

1791-7530

pii

37/3/1535

journal_volume

37

pub_type

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