[Combination of chemotherapy and radiotherapy for locally advanced non-small cell lung cancer].

Abstract:

:Despite the progress in therapeutic strategies, overall survival of stage III non small cell lung cancers (NSCLC) is poor. Currently, the standard treatment for unresectable locally advanced NSCLC is concurrent chemoradiotherapy. However, oesophagitis is a major toxicity and this schedule should be reserved for patients with good performance status. Several platinum-based chemotherapies have been evaluated concurrently with radiotherapy and cisplatin-etoposide regimen remains the standard because full dose chemotherapy can be administered. Cisplatin-vinorelbine offers a good efficacy/toxicity profile. The optimal sequencing of concurrent chemoradiotherapy and chemotherapy is not well defined. Consolidation chemotherapy with docetaxel failed to show a better outcome. The new technologies in radiotherapy and dose escalation will certainly improve the efficacy of chemoradiotherapy and reduce toxicity. The integration of targeted therapies in the management of stage III NSCLC is also under investigation.

journal_name

Rev Mal Respir

authors

Fournel P

subject

Has Abstract

pub_date

2007-10-01 00:00:00

pages

6S94-100

issue

8 Pt 2

eissn

0761-8425

issn

1776-2588

pii

MDOI-RMR-10-2007-24-8-C2-0761-8425-101019-20072013

journal_volume

24

pub_type

杂志文章,评审
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  • [Bronchial cancer in anthracosilicosis and silicosis. Study of workers in coal fields in Wallonia].

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    journal_title:Revue des maladies respiratoires

    pub_type: 杂志文章

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    authors: Vande Weyer R,Arnold L,Boudewijns F,Petit P,Yernault JC

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  • [Diagnostic and therapeutic strategies in exacerbations of chronic bronchitis in city practice].

    abstract::The consensus conference convened by the French Language Society for Infectious Disease at Lille in 1991 stressed the fact that two germs were most often the cause of exacerbation in chronic bronchitis (Streptococcus pneumoniae and Haemophilus influenzae) and that antibiotic therapy was the "safe solution" and that th...

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    pub_type: 杂志文章

    doi:

    authors: Taytard A,Vernejoux JM,Villanueva P,Tunon De Lara JM

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  • [Tuberculous pleural effusion in Yaounde, Cameroon: The influence of HIV infection].

    abstract:INTRODUCTION:The objective of this study was to investigate the current impact of HIV infection on the clinical presentation, laboratory features and outcome of tuberculous pleural effusion in adult patients in Yaounde. METHODS:We studied prospectively 196 consecutive patients, aged 15 years and above, hospitalized in...

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    doi:

    authors: Rigault JY,Prevost JN,Brun J,Galateau F

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    authors: Roeslin N,Chakfe N,Witz JP

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  • [Tobacco consumption of students ages 8 to 22 in Abidjan, 2002].

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  • [Increase in right-to-left intracardiac shunt with non-invasive ventilation].

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  • [Long-term ventilation at home in adults with neurological diseases].

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    authors: Raphaël JC,Chevret S,Auriant I,Clair B,Gajdos P

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  • [Opportunistic pneumopathy caused by Torulopsis glabrata].

    abstract::Yeasts are taking a growing place in the development of opportunistic pneumonias in a hospital environment. We report a case of pneumonia due to Torulopsis glabrata in a patient of 58 years in complete remission from a malignant oesophageal tumour after surgery and radiotherapy, and not given immunosuppressive treatme...

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    authors: Herbecq P,Wallaert B,Dei Cas E,Gosselin B,Wurtz A,Ramon P,Tonnel AB

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  • [Pulmonary and muscular localization of Wegener's granulomatosis. Apropos of a case].

    abstract::The authors report their observations on a patient presenting with Wegener's granulomatosis with initially isolated pulmonary involvement. Following treatment with a combination of steroid therapy and immunosuppressives muscular involvement developed with specific histological changes. The disease was only controlled ...

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    authors: Level MC,Cornu JC,David M,Langlet ML,Libron S

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  • [Treatments targeting distal airways in asthma: update on clinical studies].

    abstract::Two strategies are possible for targeting distal airways in asthma. The first one is systemic, with the delivery of medications either orally or intravenously. Montelukast is the only oral drug that has demonstrated its efficacy on distal airways by reducing lung hyperinflation. The second possible strategy is to deli...

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  • [Radiological screening for lung cancer].

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    authors: Lemarié E

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  • [Pleural granulocytic sarcoma. Apropos of a case and review of the literature].

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  • [Effects of Tilade in asthma].

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  • [Non-specific tuberculin reactivity due to sensitization to non-tuberculous mycobacteria (NTM) in children not vaccinated with BCG. Diagnostic value of a comparison of intradermal tests with tuberculin and NTM antigens].

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  • [Cardiopulmonary exercise testing and dyspnea in patients with chronic respiratory diseases].

    abstract::Cardiopulmonary exercise testing (CPET) is the most comprehensive investigation for understanding the mechanisms responsible for dyspnea in patients with chronic respiratory disease. The two observations presented here illustrate how CPET can contribute to the management of patients with interstitial lung diseases. A ...

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  • [Vasodilator agents in pulmonary artery hypertension of systemic scleroderma].

    abstract::An acute haemodynamic study was carried out prospectively in 6 patients fulfilling the diagnostic criteria of systemic sclerosis with pulmonary arterial hypertension. This study consisted of 7 baseline measurements and the effect of 6 drugs administered intravenously and known for their effects as vasodilators in the ...

    journal_title:Revue des maladies respiratoires

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    doi:

    authors: Phlippoteau C,Brenot F,Blétry O,Simmonneau G,Duroux P

    更新日期:1990-01-01 00:00:00

  • [Thrombo-embolic disease with antiphospholipid-type serum auto-antibodies].

    abstract::We report a case of thrombo-embolic disease in which we were able to detect the presence of serum antiphospholipid auto-antibodies. The existence of antiphospholipid auto-antibodies has already been described in cases of recurrent thrombo-embolism. The thrombogenic role is only partially explained, but would for the g...

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    doi:

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    更新日期:1991-01-01 00:00:00

  • [Diagnosis of pulmonary embolism].

    abstract::Nowadays the diagnosis of pulmonary embolism (PE) is based on a "diagnostic strategy" rather than a single test. The first step, after identifying patients with suspicion of PE, is to establish the pre-test clinical probability. Several scores are available to make a standardised and reproducible assessment of the cli...

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    authors: Robert-Ebadi H,Righini M

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  • [A simple view on lung cancer biology: The EGFR pathway].

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    abstract::Right ventricular failure (RVF) is a common cause of admission to the intensive care unit and its presence is a major prognostic factor in acute pulmonary embolism (PE) and chronic pulmonary hypertension (PH). RVF results from an incapacity of the RV to adapt to an increase in afterload so it can become critical in ac...

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