Prophylactic cranial irradiation for patients with locally advanced non-small-cell lung cancer. Oncology (Williston Park) 2003 Jun;17(6):775-9; discussion 779-80, 784, 787 passim
Date
07/09/2003Pubmed ID
12846122Scopus ID
2-s2.0-0042853137 (requires institutional sign-in at Scopus site) 9 CitationsAbstract
Over the past decade, studies have shown improved survival in patients with locally advanced non-small-cell lung cancer. This can be attributed to better systemic therapy, growing experience with combined-modality therapy, technologic advances allowing for increased radiation doses, better supportive care, and better patient selection. With longer survival, we are seeing an increase in the incidence of central nervous system (CNS) metastases. Prophylactic cranial irradiation (PCI) decreases the incidence of CNS metastases in these patients and may have a favorable impact on quality of life and overall survival. This paper reviews the incidence of CNS metastases in non-small-cell lung cancer patients, past experience with PCI, and a current study evaluating the impact of PCI on survival, neuropsychological function, and quality of life.
Author List
Gore EMAuthor
Elizabeth M. Gore MD Professor in the Radiation Oncology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Brain NeoplasmsCarcinoma, Non-Small-Cell Lung
Cognition Disorders
Cranial Irradiation
Humans
Lung Neoplasms
Prognosis
Quality of Life
Survival Analysis