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Treatment results including more than third-line chemotherapy for patients with advanced non-small cell lung cancer

  • Authors:
    • Seh J. Park
    • In K. Choi
    • Hee Y. Seo
    • Hwa J. Sung
    • Kyong H. Park
    • Sang C. Oh
    • Jae H. Seo
    • Sang W. Shin
    • Yeul H. Kim
    • Jun S. Kim

  • View Affiliations

  • Published online on: January 1, 2010     https://doi.org/10.3892/ol_00000009
  • Pages: 51-55
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Abstract

Recently, third-line chemotherapy for advanced non-small cell lung cancer (NSCLC) was accepted as a reasonable therapeutic option in patients with a favorable performance status. In practice, however, palliative chemotherapy has been performed for patients with a favorable performance status, even after third-line chemotherapy. Although multiple cycles of palliative chemotherapy were performed for these patients, there are little data of observation for courses of treatment from first-line to the last chemotherapy. We reviewed the courses of treatment for 82 patients with advanced NSCLC that had been admitted for platinum-based chemotherapy as a first-line treatment. Additional cycles of palliative chemotherapy were provided as monotherapy, based on the attending physician's decision considering patient performance status and toxicity after disease progression for previous chemotherapy. The median number of chemotherapy lines and cycles were 2 and 7, respectively, from first-line to the last chemotherapy. The median overall survival was 24 months in the response group of first-line chemotherapy, compared to 15 months for the entire study group. In the response group, the median number of chemotherapy cycles was 15 and patients received a median of 3 lines of chemotherapy. A total of 33 patients were candidate third-line chemotherapy or more. The median survival was 23 months for patients treated with more than third-line chemotherapy, compared to 7 months for patients treated with less than second-line chemotherapy. We conclude that long-standing chemotherapy is not beneficial to all NSCLC patients. However, patients with a favorable response to first-line chemotherapy tend to receive a higher number and more cycles of chemotherapy than the non-response group. Furthermore, multi-line chemotherapy appears to increase survival in the response group. Further studies will be needed to confirm these results.
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January-February 2010
Volume 1 Issue 1

Print ISSN: 1792-1074
Online ISSN:1792-1082

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  • Impact Factor: 2.5
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  • CiteScore: 5.7
  • CiteScore Rank: Q2: #139/404 Oncology
  • Source Normalized Impact per Paper (SNIP): 0.574
  • SCImago Journal Rank (SJR): 0.644
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Spandidos Publications style
Park SJ, Choi IK, Seo HY, Sung HJ, Park KH, Oh SC, Seo JH, Shin SW, Kim YH, Kim JS, Kim JS, et al: Treatment results including more than third-line chemotherapy for patients with advanced non-small cell lung cancer . Oncol Lett 1: 51-55, 2010.
APA
Park, S.J., Choi, I.K., Seo, H.Y., Sung, H.J., Park, K.H., Oh, S.C. ... Kim, J.S. (2010). Treatment results including more than third-line chemotherapy for patients with advanced non-small cell lung cancer . Oncology Letters, 1, 51-55. https://doi.org/10.3892/ol_00000009
MLA
Park, S. J., Choi, I. K., Seo, H. Y., Sung, H. J., Park, K. H., Oh, S. C., Seo, J. H., Shin, S. W., Kim, Y. H., Kim, J. S."Treatment results including more than third-line chemotherapy for patients with advanced non-small cell lung cancer ". Oncology Letters 1.1 (2010): 51-55.
Chicago
Park, S. J., Choi, I. K., Seo, H. Y., Sung, H. J., Park, K. H., Oh, S. C., Seo, J. H., Shin, S. W., Kim, Y. H., Kim, J. S."Treatment results including more than third-line chemotherapy for patients with advanced non-small cell lung cancer ". Oncology Letters 1, no. 1 (2010): 51-55. https://doi.org/10.3892/ol_00000009