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Oncol Res Treat ; 40(4): 207-214, 2017.
Article in English | MEDLINE | ID: mdl-28324876

ABSTRACT

BACKGROUND: We evaluated the efficacy, toxicity, and dose responses of re-irradiation with stereotactic body radiotherapy (SBRT) in patients with recurrent non- small cell lung cancer (NSCLC) after previous irradiation. PATIENTS AND METHODS: 28 patients were included. Previous median radiation doses were 54 and 66 Gy. The median interval time between previous radiotherapy and SBRT was 14 months. The median follow-up time after SBRT was 9 months (range 3-93 months). To evaluate the effectiveness of SBRT, local control, overall survival, and treatment-related toxicity were reported. RESULTS: SBRT doses and fractionation ranged from 60 to 30 Gy and from 3 to 8, respectively, according to previous doses, location of the recurrence, and interval time. 65% of tumor recurrences overlapped with previous treatment, while 35% of tumors recurred outside of the previous treatment. 4 patients had local progression after SBRT at their first follow-up. The Kaplan-Meier estimates of the 1- and 2-year actuarial overall survival were 71 and 42%, respectively. The mean survival following SBRT was 32.8 months, and the median survival was 21 months. No grade 3 or higher toxicities were observed. CONCLUSION: Robotic SBRT is a tolerable treatment option with manageable toxicity which can be used with radical or palliative intent in carefully selected patients with locally recurrent tumors after previous irradiation.


Subject(s)
Carcinoma, Non-Small-Cell Lung/mortality , Carcinoma, Non-Small-Cell Lung/radiotherapy , Lung Neoplasms/mortality , Lung Neoplasms/radiotherapy , Neoplasm Recurrence, Local/mortality , Neoplasm Recurrence, Local/radiotherapy , Radiosurgery/mortality , Aged , Aged, 80 and over , Dose-Response Relationship, Radiation , Female , Humans , Male , Middle Aged , Prevalence , Radiation Injuries , Radiosurgery/statistics & numerical data , Radiotherapy Dosage , Radiotherapy, Computer-Assisted/mortality , Radiotherapy, Computer-Assisted/statistics & numerical data , Re-Irradiation/mortality , Re-Irradiation/statistics & numerical data , Retrospective Studies , Risk Factors , Robotics/statistics & numerical data , Survival Rate , Treatment Outcome , Turkey/epidemiology
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