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Controversies in the Treatment of Lung Cancer - Frontiers of Radiation Therapy and Oncology, Vol. 42

Controversies in the Treatment of Lung Cancer - Frontiers of Radiation Therapy and Oncology, Vol. 42

von: J. Heide, A. Schmittel, D. Kaiser, W. Hinkelbein (Hrsg.)

Karger, 2009

ISBN: 9783805592994, 218 Seiten

Format: PDF, OL

Mac OSX,Windows PC Apple iPad, Android Tablet PC's Online-Lesen für: Linux,Mac OSX,Windows PC

Preis: 134,50 EUR

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Controversies in the Treatment of Lung Cancer - Frontiers of Radiation Therapy and Oncology, Vol. 42


 

Cover

1

Contents

6

Diagnostic Workup

8

Prognostic Factors in Histopathology ofLung Cancer

8

Abstract

8

Tumor Size: An Essential Prognostic Factor in Lung Cancer

10

Small Cell Lung Cancer

10

Prognosis and Predictive Factors in Small Cell Lung Cancer

11

Histological Subtype: A Prognostic Factor in NSCLC

12

Squamous Cell Carcinoma Histological Subtypes Associated with Poor Prognosis

12

Adenocarcinoma Histological Subtypes Associated with Poor Prognosis

13

Bronchioloalveolar Cell Carcinoma Growth Pattern: A Favorable Prognostic Factor

13

Large Cell Carcinomas

14

Prognostic Implication of Molecular Markers

15

Conclusion

19

References

20

FDG-PET/CT in Lung Cancer: An Update

22

Abstract

22

Non-Small Cell Lung Cancer

23

Staging of Lung Cancer – Distant Metastases

32

Prediction and Monitoring Response to Therapy

40

Pleural Metastases

42

Cost-Effectiveness

43

Small Cell Lung Cancer

44

References

44

Whole-Body Magnetic Resonance Imagingfor Staging of Lung Cancer

53

Abstract

53

Technical Aspects of Whole-Body MRI

54

Staging of Lung Cancer Using Whole-Body MRI

54

Conclusions

60

References

60

Bronchoscopy/Endobronchial Ultrasound

62

Abstract

62

EBUS-TBNA: Technique

63

Clinical Results

65

Complications

67

Conclusion

67

References

68

New Developments inVideomediastinoscopy: Video-AssistedMediastinoscopic Lymphadenectomy andMediastinoscopic Ultrasound

70

Abstract

70

Methods

71

Results

71

Comments

74

Implications for Clinical Practice and Further Research

76

References

77

NSCLC: Stage I/II Disease

78

Resection in Stage I/II Non-Small Cell LungCancer

78

Abstract

78

Surgery in Stages I and II

79

Conclusion

82

References

82

Role of Mediastinal Lymph Node Dissectionin Non-Small Cell Lung Cancer

85

Abstract

85

Surgical Technique of Systematic Lymph Node Dissection

86

Role of Nodal Involvement on Survival

88

Impact of Mediastinal Lymph Node Dissection on Operative Morbidity, Mortalityand Quality of Life

88

Diagnostic Role of Mediastinal Lymph Node Dissection

89

Therapeutic Role of Mediastinal Lymph Node Dissection

90

Conclusion

91

References

91

Radiation Therapy for Early Stage (I/II)Non-Small Cell Lung Cancer

94

Abstract

94

Radiation Therapy alone in Early Non-Small Cell Lung Cancer

95

Avenues for an Improvement of RT Alone in Early NSCLC

98

References

99

Stereotactic Body Radiation Therapy forEarly Non-Small Cell Lung Cancer

101

Abstract

101

Definitions of Stereotactic Body Radiation Therapy

102

Staging Procedures before SBRT

104

Implementation of Techniques in Clinical Routine

105

Biological Basis of Hypofractionated SBRT

108

Historical Aspects and Early Clinical Experience in SBRT of Lung Cancer

109

Clinical Experience

109

Follow-Up Recommendations

116

Future

117

References

117

NSCLC: Stage III Disease

122

Extended Surgical Resection in Stage IIINon-Small Cell Lung Cancer

122

Abstract

122

Discussion of Stage-Related Treatment

123

Conclusions

127

References

127

Stage III: Definitive Chemoradiotherapy

129

Abstract

129

Optimization of Combined Radiotherapy and Chemotherapy

130

Which Chemotherapy and Radiotherapy Regimens Are Optimal for ConcurrentChemoradiotherapy?

133

How Do Comorbidities Influence the Performance of ConcurrentChemoradiotherapy?

137

References

139

Adjuvant Therapy in Early-Stage Non-SmallCell Lung Cancer

142

Abstract

142

Landmark Studies Concerning Adjuvant Platinum-Based Chemotherapy

143

Negative Studies

144

The LACE (Lung Adjuvant Cisplatin Evaluation) Meta-Analysis (table 2)

144

Adjuvant Chemotherapy and Stage (table 3)

145

Which Chemotherapy Combination?

147

Adjuvant Radiotherapy

147

Patient Selection and Predictive or Prognostic Factors

147

Neoadjuvant Chemotherapy

149

Conclusion

149

References

150

Postoperative Irradiation in Non-Small CellLung Cancer

152

Abstract

152

References

155

Altered Fractionation Schemes inRadiotherapy

157

Abstract

157

Hypofractionated Stereotactic Body Radiotherapy for NSCLC (Stage I)

158

Hyperfractionated Accelerated Radiotherapy for Stage III NSCLC

161

References

162

NSCLC: Palliative Procedures in Stage IV

164

Chemotherapy of Advanced Non-Small CellLung Cancer

164

Abstract

164

Pemetrexed

165

Cisplatin- vs. Carboplatin-Based Chemotherapy

165

Elderly Patients and Patients with Reduced Performance Status

166

Customized Chemotherapy

166

Targeted Therapies

167

Maintenance Therapy

167

Systemic Chemotherapy in Patients Progressing after First-Line Chemotherapy

168

Assessment of Efficacy

168

References

169

Radiotherapy

171

Abstract

171

Clinical Manifestations of Advanced Lung Carcinoma

171

Palliative Potential of Radiotherapy

172

Treatment Strategies

174

References

178

Small Cell Lung Cancer

180

Treatment of Limited Disease Small CellLung Cancer

180

Abstract

180

Thoracic Radiotherapy

181

Patient Selection

184

Future Perspectives

185

References

185

Radiochemotherapy in Extensive DiseaseSmall Cell Lung Cancer ED-SCLC

187

Abstract

187

RT in ED-SCLC Trial

188

Future Approaches

191

Conclusions

192

References

192

Radiotherapy for Extensive Stage SmallCell Lung Cancer

194

Abstract

194

Introduction

194

Brain Metastases

195

Prophylactic Cranial Irradiation

195

Thoracic Radiotherapy

197

References

198

Controversies in the Treatment ofAdvanced Stages of Small Cell Lung Cancer

200

Abstract

200

First-Line Chemotherapy

200

Prophylactic Cranial Irradiation after First-Line Chemotherapy

202

Second-Line Chemotherapy

202

References

203

Use of Complementary and Alternative Medicine in Lung Cancer

205

Complementary and Alternative Medicinein Lung Cancer Patients: A Neglected Phenomenon?

205

Abstract

205

Methods

207

Results

208

Discussion

209

Conclusions

210

References

211

Author Index

213

Subject Index

214