Zhu Yaoyao,Yang Shuangyan,Yang Wenyan,Lin Qingren,Shao Kainan,Xu Qinghua,Liu hui,Xu Yaping.Clinical outcomes of stereotactic body radiation therapy for T2N0M0 non-small cell lung cancer[J].Chinese Journal of Radiological Medicine and Protection,2019,39(12):904-909
Clinical outcomes of stereotactic body radiation therapy for T2N0M0 non-small cell lung cancer
Received:July 24, 2019  
DOI:10.3760/cma.j.issn.0254-5098.2019.12.005
KeyWords:Stereotactic body radiation therapy  Non-small cell lung cancer  Overall survival  Progression-free survival  Cause-specific survival
FundProject:山东省重点研发计划项目(2018GSF118048)
Author NameAffiliationE-mail
Zhu Yaoyao First Clinical Medical School, Wenzhou Medical University, Wenzhou 325035, China  
Yang Shuangyan Department of Radiation Oncology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China  
Yang Wenyan Department of Radiation Oncology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China  
Lin Qingren Department of Radiation Oncology, Cancer Hospital of University of Chinese Academy of Sciences, Hangzhou 310022, China  
Shao Kainan Department of Radiation Oncology, Cancer Hospital of University of Chinese Academy of Sciences, Hangzhou 310022, China  
Xu Qinghua Department of Radiation Oncology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China  
Liu hui Department of Radiation Oncology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China  
Xu Yaping First Clinical Medical School, Wenzhou Medical University, Wenzhou 325035, China xuyaping1207@163.com 
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Abstract::
      Objective To investigate the clinical efficacy and adverse effects of stereotactic body radiotherapy (SBRT) in the treatment of T2N0M0 non-small cell lung cancer (NSCLC) patients. Methods By retrospectively analyzing the clinical data of 30 inoperable patients with stage T2N0M0 NSCLC treated by SBRT, the overall survival, progression-free survival, cancer-specific survival and adverse effects were determined. Results The median follow-up was 18.4 months. The 1-, 2-, and 3-year overall survival rates were 92.2%, 92.2% and 80.6%, respectively. The corresponding cause-specific survivals were 95.7%, 95.7% and 83.7%. The progression-free survivals were 70.2%, 54.1% and 40.6%. The local control rates were 100%, 94.4%, and 94.4%. The regional controls were 84.2%, 72.1%, and 54.1%; and distant controls were 84.6%, 72.4% and 64.3%, respectively. Twenty patients (66.7%) developed symptoms of grade 1 radiation-related toxicities:dyspnea, chest pain, fatigue, cough, esophagitis, or pneumonia. Among these, 5 patients suffered grade ≥ 2 radiation pneumonitis, and one patient experienced grade 4 radiation pneumonitis. Conclusions SBRT was efficient and safe for patients with inoperable T2N0M0 NSCLC, imposing tolerable toxicities.
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