TURKISH JOURNAL OF ONCOLOGY 2004 , Vol 19 , Num 3
OUTCOME OF LOCALLY ADVANCED AND METASTATIC NON-SMALL CELL LUNG CANCER PATIENTS - MARMARA UNIVERSITY EXPERIENCE
Dr. P. Fulden YUMUK1, Dr. M. Salih İYİKESİCİ1, Dr. Mahmut GÜMÜŞ1, Dr. Mehmet ALİUSTAOĞLU1, Dr. Faysal DANE1, Dr. Gül BAŞARAN1, Dr. Meltem EKENEL1, Dr. Ufuk ABACIOĞLU2, Dr. N. Serdar TURHAL1
1Marmara Üniversitesi Tıp Fakültesi, Medikal Onkoloji Bilim Dalı, İstanbul
2Marmara Üniversitesi Tıp Fakültesi, Radyasyon Onkolojisi ABD, İstanbul
Treatment outcomes of the 175 advanced and metastatic NSCLC patients who were given chemotherapy since April 1997 were retrospectively evaluated. In 138 patients, a platinum analogue was used in combination with etoposide, vinorelbine, paclitaxel, docetaxel or gemcitabine. The thoracic radiotherapy was given to stage IIIB patients after completion of first line chemotherapy and to symptomatic stage IV patients with palliative intent. Eligible stage IIIA patients (8.6%) were operated. Median age was 60 and 132 patients were male. Performance status was 0 in 77.5% and stage was IIIA/IIIB/IV in 16/39/120 patients. Forty-eight patients received local RT. At a median follow-up of 11 months, median overall survival (OS) was 13 months, 1-year OS ratio was 51%. Women, patients with good performance status, having resectable tumors and who received local radiotherapy lived significantly longer (p=0.005, p=0.0001, p=0.044 and p=0.0002, respectively). The independent factors influencing the OS were identical. Our results are consistent with the world literature. Keywords : Carcinoma, Non-Small-Cell Lung; Antineoplastic Combined Chemotherapy Protocols; Survival Analysis