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CANCERS BRONCHIQUES NON A PETITES CELLULES NON METASTATIQUES NON RESECABLES
RADIOCHIMIOTHERAPIE CONCOMITANTE : A L'INDUCTION VERSUS EN CONSOLIDATION
|
|
référence
|
traitement
|
n
|
% RO
|
p
|
survie médiane
|
survie à 3 ans
(%)
|
p
|
Berghmans,
2009
(1)
|
CDDP-Gemci+VNR
+ 66 Gy
|
|
I.
En induction
|
21
|
57
%
|
|
17 m
|
|
NS
|
II.
En consolidation
|
28
|
79
%
|
23,9 m
|
|
Senan,
2011
(2) I
|
CDDP-docétaxel
+ RT (66 Gy)
|
|
I.
En induction
|
26
|
|
|
17,5 m
|
|
|
II.
En consolidation
|
34
|
|
Non
atteint
|
|
Garrido,
2013
(3)
|
Gemcitabine
+ docétaxel + 60GY
|
|
|
|
|
|
NS
|
I.
En induction
|
68
|
57
%
|
NS
|
13,8 m
|
30
%
|
II.
En consolidation
|
67
|
56
%
|
13 m
|
20
%
|
Références
(1) Berghmans T, Van Houtte P., Paesmans M, Giner V, Lecomte J, Koumakis G, et al. A phase III randomised study comparing concomitant radiochemotherapy as induction versus consolidation treatment in patients with locally advanced unresectable non-small cell lung cancer. Lung Cancer 2009 May;64(2):187-93.
(2) Senan S, Cardenal F, Vansteenkiste J, Stigt J, Akyol F, De NW, et al. A randomized phase II study comparing induction or consolidation chemotherapy with cisplatin-docetaxel, plus radical concurrent chemoradiotherapy with cisplatin-docetaxel, in patients with unresectable locally advanced non-small-cell lung cancer. Ann Oncol 2011 Mar;22(3):553-8.
(3) Garrido P, Rosell R, Arellano A, Andreu F, Domine M, Perez-Casas A, et al. Randomized phase II trial of non-platinum induction or consolidation chemotherapy plus concomitant chemoradiation in stage III NSCLC patients: mature results of the Spanish Lung Cancer Group 0008 study. Lung Cancer 2013 Jul;81(1):84-90.
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