2000
DOI: 10.1007/s11912-000-0013-0
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Hyperfractionated radiotherapy for lung cancer

Abstract: In several recent clinical trials, hyperfractionated or accelerated hyperfractionated thoracic radiation therapy has improved survival over conventional radiotherapy among patients with either stage III non-small-cell lung cancer or limited-stage small-cell lung cancer. Combinations of novel chemotherapy agents such as taxanes and gemcitabine with hyperfractionated or accelerated hyperfractionated radiotherapy may further improve survival, although toxicity must be closely followed. Attempts to minimize the am… Show more

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Cited by 7 publications
(4 citation statements)
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“…However, partial lung cancer cell’s resistance to radiotherapy affects therapeutic effects, and 5-year survival rate of radiotherapy alone is only 5%–10%, local recurrence occurs in 80% of patients, and metastasis occurs in 60% of patients [25]. Therefore, it is necessary to find a effective radiosensitizer to enhance tumor radiosensitivity, while with less negtive function to normal tissues.…”
Section: Discussionmentioning
confidence: 99%
“…However, partial lung cancer cell’s resistance to radiotherapy affects therapeutic effects, and 5-year survival rate of radiotherapy alone is only 5%–10%, local recurrence occurs in 80% of patients, and metastasis occurs in 60% of patients [25]. Therefore, it is necessary to find a effective radiosensitizer to enhance tumor radiosensitivity, while with less negtive function to normal tissues.…”
Section: Discussionmentioning
confidence: 99%
“…Radiotherapy is a main therapeutic method for lung cancer, especially for locally advanced NSCLC [1]. However, partial lung cancer cell's resistance to radiotherapy affects therapeutic effects, and 5-year survival rate of radiotherapy alone is only 5%–10%, local recurrence occurs in 80% of patients, and metastasis occurs in 60% of patients [10]. Therefore, it is necessary to find an effective radiosensitizer to enhance tumor radiosensitivity.…”
Section: Discussionmentioning
confidence: 99%
“…Until recently, 60 Gy of radiation delivered with conventional daily fractionation was considered as standard treatment for patients undergoing primary radiotherapy with curative intent [2,21]. In patients with favorable stage III NSCLC, this yields median survival times of 9-11 months, with a 5-year overall survival rate of less than 6% [22]. Although standard radiotherapy doses have been increased to 66-70 Gy in recent years, there is no controlled evidence that these doses are superior to the 60-65 Gy standards of past years.…”
Section: Radiotherapy Schedulesmentioning
confidence: 99%
“…Thus, even if the total dose value appears lower, the delivery of the dose in a shorter time frame may increase its biologic effect. This approach is used with the intention of reducing repopulation by lung tumor cells with short potential doubling times [22]. Improved survival with hyperfractionated schedules in NSCLC specifically has yet to be demonstrated in prospective, randomized trials.…”
Section: Radiotherapy Schedulesmentioning
confidence: 99%