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1 The Journal of Evidence-Based Medicine Apr. 202 Vol.2 No.2 : ( [ ] [ ] R734.2 [ ] A [ ] ( The Consensus of Small Cell Lung Cancer Management / / WU Yi-long LIAO Mei-lin 2 ZHOU Qing-hua 3 CHENG Ying 4 WANG Chang-li 5 WANG Lü-hua 6 LU Shun 2 FU Xiao-long 7 ZHOU Cai-cun 8 HUANG Cheng 9 Tony SK Mok 0 LUO Dong-lan YANG Xue-ning WANG Jie CHEN Haiquan 7 LU You 2 WANG Jun 3 MA Sheng-lin 4 XU Lin 5 MAO Wei-min 6 FENG Ji-feng 5 SONG Qi-bin 7 WU Gang 8 ZHU Guang-ying WANG Zhen Key words: small cell lung cancer evidence-based medicine consensus First-author s address: Guangdong General Hospital Guangdong Academy of Medical Sciences Guangdong Lung Cancer Institute Guangzhou China 20 : A : ( Meta RCT B : ( Meta RCT 2A : 2B : 3 : :T-2N :2B (China society of clinical oncologycsco (small cell lung cancersclc + + [-2]
2 : N Lally Oncologist N : 5 ~ % ~40% 5 :2A 0%~3% [3] 200 Yu N0 N N2 (surveillance epidemiology and end results evaluationseer 998- SEER N [4] N (5.8% 5 (P=0.0 [5] N 50.3% 636 (40.8% % [4] (P=0.79 Schreiber [5] SEER Schreiber [5] N0 N 4 79 (localizedt-t2nx-n0 (National Comprehensive Cancer Network NCCN (regionalt3-t4nx-n0 863 N N0 [9] 5 :N (P<0.00N N N (P<0.00N2 2 9 (P< : 5 [6-7 ] :B Auperin 999 New England Journal of Medicine Meta 2009 (Union for Internationale Cancer Control UICC 987 (International Association for the Study of Lung Cancer IASLC 6% [8] TNM ( % 0.73 ~0.9P = T-T2N0-N % 20.7% + 54%( % N2 0.38~0.57P<0.00 2B Gy
3 [0] 5 : + Meert [] Meta :B Slotman [2 ] 2007 New England (EP Journal of Medicine 286 4~6 5~ %~40% 70%~85% 73% ( 8~3 2 5% [8] % 0.6~0.44P< Noda New England Journal 4.6%. 67 of Medicine + (IP 40.4% EP IP 3.3% 27.% ( 2.8 EP 9.4 (P= % 0.52~0.68P= %5.2% [9] 20 Gy / 5 IP EP [20-2] (IC (EC IC EC 8.5 (IC7. (EC 34% 24% (.495%.06 ~.87P = 25 Gy 20 Gy 0.02 [22] Jiang [23] 4 Meta Auperin NCCN ( % 0.66~0.99 P= : >65 PS>2 6 : :2B :B % 38.6% 7%~3% [3] 4 8 [24] [4-5] %~40% [6] 3 [7] 0%
4 [25] T-2N0-M0 N2-3M0 Mb( + +PCI N2+ + CR PR+PCI Mb RR+PCI : : : : [] [2] [3] [4] [5] [6] [7] [8] [ ] Fox W Scadding JG. Medical research council comparative trial [EB / OL]. http: / / / professionals / physician_gls / f_ of surgery and radiotherapy for primary treatment of small-celled or oat-celled carcinoma of bronchus[j]. Lancet 9732(7820: [0] guidelines.asp. AupérinA Arriagada R Pignon JP et al. Prophylacticcranial Irradiation for patients with small-cell lung cancer in Lad T Piantadosi S Thomas Pet al. A prospective randomized completeremission[j]. N Engl J Med 99934(7: trial to determine the benefit of surgical resection of residual [] Meert A-P Paesmans M Berghmans T et al. Prophylactic disease following response of small cell lung cancer to cranial irradiation in small cell lung cancer: A systematic review combination chemotherapy [J]. Chest (6 Suppl: of the literature with meta-analysis[j]. BMC Cancer 200:5. 320S-323S. [2] Slotman B Faivre-Finn C Kramer G et al. Prophylactic Lally BE Urbanic JJ Blackstock AW et al. Small cell lung cranial irradiation in extensive small-cell lung cancer[j]. N Engl cancer: Have we made any progress over the last 25 years? J Med (7: [J]. Oncologist 20072(9: [3] Giuliani M Sun A Bezjak A et al. Utilization of prophylactic Yu JB Decker RH Detterbeck FC et al. Surveillance cranial irradiation in patients with limited stage small cell lung Epidemiology and End Results evaluation of the role of surgery for stagesmall cell lung cancer [J]. J Thorac Oncol 2005 (2: [4] carcinoma[j]. Cancer 2006(24: Sun A Bae K Gore EM et al. Phase trial of prophylactic cranial irradiation compared with observation inpatients with Schreiber D Rineer J Weedon J et al. Survival outcomes with locally advanced non-small-cell lung cancer: Neurocognitive the use of surgery in limited-stage small cell lung cancer [J]. Cancer 2006(5: andquality-of-life analysis [J]. J Clin Oncol 2029(3: [5] Le Péchoux C Laplanche A Faivre-Finn C et al. Clinical [J] (6: neurological outcome and quality of life among patients with. limited small-cell cancer treated with two different doses of [J] (6: Shepherd FA Crowley J Van Houtte P et al. The International Association for the Study of Lung Cancer lung cancer staging project: Proposals regarding the clinical staging of small cell lung cancer in the forthcoming (seventh edition of the tumor node metastasis classification for lung cancer [J]. J Thorac Oncol 20072(2: [9] NCCN Guidelines: Small cell lung cancer. Version prophylactic cranial irradiation in the intergroup phase trial (PCI99-0 EORTC RTOG 022 and IFCT 99-0[J]. Ann Oncol 2022(5: [6] Wolfson AH Bae K Komaki R et al. Primary analysis of phase randomized trial Radiation Therapy Oncology Group (RTOG 022: Impact of different total doses and schedules of prophylactic cranialirradiation on chronic neurotoxicity and
5 . 69 quality of life for patients with limited-disease small-cell lung small-cell lung cancer: Clinical and pharmacogenomic results cancer[j]. Int J Radiat Oncol Biol Phys 208(: from SWOG S024[J]. J Clin Oncol (5: [7] Slotman BJ Mauer ME Bottomley A et al. Prophylactic [22] Hermes A Bergman B Bremnes R et al. Irinotecan plus cranial irradiation in extensive disease small-cell lung cancer: Carboplatin versus oral Etoposide plus Carboplatin in extensive short-term health-related quality of life and patient reported small-cell lung cancer: A randomized phase trial [J]. J Clin symptoms: Results of aninternational phase randomized Oncol (26: controlled trial by the EORTC RadiationOncology and Lung [23] Jiang J Liang X Zhou X et al. A meta-analysis of randomized Cancer Groups[J]. J Clin Oncol (: controlled trials comparing Irinotecan / Platinum with Etoposide / [8] van Meerbeeck JP Fennell DA De Ruysscher DKM. Small-cell Platinum in patients with previously untreated extensive-stage lung cancer[j]. Lancet 20378(9804: small cell lung cancer [J]. J Thorac Oncol 2005 (6:867- [9] Noda K Nishiwaki Y Kawahara M et al. Irinotecan plus 873. Cisplatin compared with Etoposide plus Cisplatin for extensive [24] Jotte R Von Pawel J Spigel DR et al. Randomized phase small-cell lung cancer[j]. N Engl J Med (2:85-9. trial of Amrubicin versus Topotecan (Topo as second-line [20] Hanna N Bunn PA Langer C et al. Randomized phase treatment for small cell lung cancer (SCLC[J]. J Clin Oncol trial comparing Irinotecan / Cisplatin with Etoposide / Cisplatin in 2029 (suppl:abstr patients with previously untreated extensive-stage disease small- [25] Kim YH Mishima M. Second-line chemotherapy for small-cell cell lung cancer[j]. J Clin Oncol (3: lung cancer (SCLC[J]. Cancer Treat Rev 2037(2:43- [2] Lara PN Natale R Crowley J et al. Phase trial of Irinotecan / Cisplatin compared with Etoposide / Cisplatin in extensive-stage 50. [ ] !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! 202 ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( 307 ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( (
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