Literature DB >> 9488124

Brain-only metastases of small cell lung cancer; efficacy of whole brain radiotherapy. An EORTC phase II study.

P E Postmus1, H Haaxma-Reiche, A Gregor, H J Groen, T Lewinski, T Scolard, A Kirkpatrick, D Curran, T Sahmoud, G Giaccone.   

Abstract

BACKGROUND AND
PURPOSE: To evaluate the efficacy of WBRT as a single treatment modality in patients with brain metastases of small cell lung cancer. PATIENTS AND METHODS: The patients had brain metastases of small cell lung cancer without any sign of tumour outside the brain and were treated with 10 x 3.0 Gy WBRT. Response and neurological functions were evaluated after 6, 18 and 36 weeks.
RESULTS: Twenty of 22 eligible patients were evaluable for response. In six patients a complete response was seen and in five patients a partial response was seen giving a response rate of 50% (95% CI 28-72%). Response duration was 5.4 months (range 63-260 days) and median survival was 4.7 months (range 14-743 days). In the majority of patients the first site of progression after WBRT was in the central nervous system. Twelve of the patients had stabilization or improvement of the neurological function.
CONCLUSION: WBRT for brain metastases of small cell lung cancer gives a 50% response rate with stabilization or improvement of neurological function. Response duration and survival are short.

Entities:  

Mesh:

Year:  1998        PMID: 9488124     DOI: 10.1016/s0167-8140(97)00149-7

Source DB:  PubMed          Journal:  Radiother Oncol        ISSN: 0167-8140            Impact factor:   6.280


  25 in total

1.  Tumor infiltrating lymphocytes and PD-L1 expression in brain metastases of small cell lung cancer (SCLC).

Authors:  Anna Sophie Berghoff; Gerda Ricken; Dorothee Wilhelm; Orsolya Rajky; Georg Widhalm; Karin Dieckmann; Peter Birner; Rupert Bartsch; Matthias Preusser
Journal:  J Neurooncol       Date:  2016-07-19       Impact factor: 4.130

2.  Gamma knife stereotactic radiosurgery as salvage therapy after failure of whole-brain radiotherapy in patients with small-cell lung cancer.

Authors:  Sunit Harris; Michael D Chan; James F Lovato; Thomas L Ellis; Stephen B Tatter; J Daniel Bourland; Michael T Munley; Allan F deGuzman; Edward G Shaw; James J Urbanic; Kevin P McMullen
Journal:  Int J Radiat Oncol Biol Phys       Date:  2012-02-17       Impact factor: 7.038

3.  Prophylactic cranial irradiation for stage IV small cell lung cancer, live longer or reduce morbidity of brain metastases?

Authors:  Pieter E Postmus; Egbert F Smit
Journal:  J Thorac Dis       Date:  2017-10       Impact factor: 2.895

4.  Examination of the predictive factors of the response to whole brain radiotherapy for brain metastases from lung cancer using MRI.

Authors:  Shuri Aoki; Tomonori Kanda; Noriyuki Matsutani; Nobuhiko Seki; Masafumi Kawamura; Shigeru Furui; Hideomi Yamashita
Journal:  Oncol Lett       Date:  2017-05-26       Impact factor: 2.967

5.  Chemotherapy with concurrent brain and thoracic radiotherapy in brain-only metastases of treatment naive small-cell lung cancer: a phase II study.

Authors:  Li-kun Chen; He Huang; Hai Liao; Guo-zhen Liu; Yin-duo Zeng; Xiao-xiao Dinglin; Guang-chuan Xu; Wei-dong Wei
Journal:  Med Oncol       Date:  2011-08-19       Impact factor: 3.064

6.  Role of Gamma Knife Radiosurgery in Small Cell Lung Cancer: A Multi-Institutional Retrospective Study of the International Radiosurgery Research Foundation (IRRF).

Authors:  Christopher P Cifarelli; John A Vargo; Wei Fang; Roman Liscak; Khumar Guseynova; Ronald E Warnick; Cheng-Chia Lee; Huai-Che Yang; Hamid Borghei-Razavi; Tonmoy Maiti; Zaid A Siddiqui; Justin C Yuan; Inga S Grills; David Mathieu; Charles J Touchette; Diogo Cordeiro; Veronica Chiang; Judith Hess; Christopher J Tien; Andrew Faramand; Hideyuki Kano; Gene H Barnett; Jason P Sheehan; L Dade Lunsford
Journal:  Neurosurgery       Date:  2020-09-15       Impact factor: 4.654

7.  Central nervous system relapse continues to be a therapeutic challenge in extensive disease small-cell lung cancer patients with initial symptomatic brain metastases and good response to chemoradiotherapy.

Authors:  Farkhad Manapov
Journal:  J Neurooncol       Date:  2009-12-15       Impact factor: 4.130

8.  Prophylactic cranial irradiation in extensive disease small-cell lung cancer: short-term health-related quality of life and patient reported symptoms: results of an international Phase III randomized controlled trial by the EORTC Radiation Oncology and Lung Cancer Groups.

Authors:  Berend J Slotman; Murielle E Mauer; Andrew Bottomley; Corinne Faivre-Finn; Gijs W P M Kramer; Elaine M Rankin; Michael Snee; Matthew Hatton; Pieter E Postmus; Laurence Collette; Suresh Senan
Journal:  J Clin Oncol       Date:  2008-12-01       Impact factor: 44.544

9.  Management of Brain Metastases.

Authors:  Suriya A. Jeyapalan; Tracy Batchelor
Journal:  Curr Treat Options Neurol       Date:  2004-07       Impact factor: 3.598

Review 10.  Treatment options for small cell lung cancer - do we have more choice?

Authors:  M Puglisi; S Dolly; A Faria; J S Myerson; S Popat; M E R O'Brien
Journal:  Br J Cancer       Date:  2010-01-26       Impact factor: 7.640

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