Annals of Oncology 15:365-367, 2004
© 2004 European Society for Medical Oncology
Preoperative chemoradiation approaches to locally advanced non-small-cell lung cancer: one mans pride, another mans burden?
Departments of 1 Internal Medicine and 2 Radiation Oncology, West German Cancer Centre Essen, University of Duisburg, Essen; 3 Department of Thoracic Endoscopy and Surgery, Ruhrlandklinik, Germany E-mail: wilfried.eberhardt@uni-essen.de
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Defining the problem
Has there been any major progress in the combined modality treatment for stage III locally advanced non-small-cell lung cancer (NSCLC) within the last 10 years? The answer is certainly yes, but currently we have to admit that the absolute gain for our patients has been relatively small, when looking from the broader perspective of the general patient population with NSCLC [1]. Differences in 5-year survival rates that have been achieved by complex bi- or tri-modality protocols have generally been observed in the range of between 3% and 7% improvement [2, 3]. Some therapists may be satisfied with these figures, others may not.
This naturally contrasts with the situation in a given individual patient case, in whom optimised approaches have led to definite cure of the disease, whereas years before only palliation could be achieved by local treatment modalities alone [2, 4]. Therefore,
Preoperative concurrent chemoradiotherapy: the paths to tri-modality
Interpreting the results of this feasibility trial
What else can we learn from trials that have been reported within the last 10 years?
One mans pride, another mans burden
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