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Tumour volume reduction during CRT linked to worse survival in locally advanced lung adenocarcinoma

Jackey Suen
16 Oct 2018

Reduction in gross tumour volume (GTV) during concurrent chemoradiation therapy (CRT) may be linked to worse overall survival (OS) in patients with locally advanced lung adenocarcinoma, according to a recent study reported at the International Association for the Study of Lung Cancer (IASLC) 19th World Conference on Lung Cancer (WCLC 2018).

In the study, 394 patients treated with concurrent CRT for locally advanced non-small-cell lung cancer (NSCLC) had their GTV measured on cone beam CT scan between the first and last fraction of radiotherapy. [Kwint M, et al, WCLC 2018, abstract P1.17-07]

“It is important to determine tumour response during treatment and its relationship with clinical outcomes. However, previously published literature in NSCLC patients has been inconsistent about this association,” wrote researchers from the Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands.

Results showed that in NSCLC patients who had adenocarcinoma histology, >median GTV change during concurrent CRT was associated with worse OS (p=0.060).

Surprisingly, no such associations were found for the entire cohort, or in those with squamous (p=0.770) or unspecified histology (p=0.952). “In the entire cohort, we could not identify any associations between GTV changes during concurrent CRT and OS, progression-free survival or locoregional control,” the researchers added.

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Most Read Articles
Rachel Soon, 3 days ago

Gels utilizing Stichopus horrens (golden sea cucumber/gamat) extract show a similar efficacy to standard-of-care hydrogels for promoting wound healing, according to a prospective study.

16 Mar 2019
Sleep difficulties are exacerbated in long-term survivors of childhood cancers, which may lead to persistent emotional distress, a new study has found.
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Higher cancer symptom burden in elderly adults is associated with functional impairment, reports a recent study.
Jairia Dela Cruz, 5 days ago
Use of mirabegron in the treatment of men with overactive bladder (OAB) appears to effectively alleviate urgency and storage symptoms, but not reduce the frequency of micturition episodes, according to data from the MIRACLE study.