Recurrence Patterns in NSCLC Patients Treated with Post-operative Radiotherapy; Turkish Radiation Oncology Society Thoracic Oncology Group Study

Yıl: 2023 Cilt: 38 Sayı: 2 Sayfa Aralığı: 136 - 144 Metin Dili: İngilizce DOI: 10.5505/tjo.2023.3921 İndeks Tarihi: 06-06-2023

Recurrence Patterns in NSCLC Patients Treated with Post-operative Radiotherapy; Turkish Radiation Oncology Society Thoracic Oncology Group Study

Öz:
OBJECTIVE Post-operative radiotherapy (PORT) in non-small cell lung cancer (NSCLC), especially after complete resection, has long been an unresolved dilemma and debated among therapeutic disciplines. We aimed to evaluate the effects of different radiotherapy volumes and techniques on local-regional recurrence patterns and PORT results in patients with NSCLC. METHODS The results of 389 patients who underwent surgery and received PORT at 11 centers were analyzed retrospectively. The surgical margin was positive or closes in 100 (26%) patients. The PORT dose was a median of 50 Gy (36–60 Gy). Intensity-modulated RT methods were used in 68 (17.5%) patients. RESULTS The first recurrence of the patients who developed relapse, local recurrence was found in 77 (19.8%) patients, distant recurrence was found in 95 (24%) patients, and both recurrences was found in 30 (8%) patients. The median time to locoregional relapse was 14 months (1.84–59.7 months). Local-regional recurrence was not significantly higher in patients with positive surgical margins than in negative patients (39% vs. 29%, p=0.1), but the dose administered to these patients was also higher. Mediastinal recurrence occurred in 28 (19%) patients who did not receive radiotherapy to the mediastinum; 25 of these recurrences (89%) were just near or outside the field. Cardiac events became 7% in all groups and did not change according to chosen mediastinal radiotherapy volume. CONCLUSION A clear description of the PORT volumes according to the localization of the primary tumor and the involved lymph nodes would be beneficial in terms of establishing the recurrence/toxicity balance better.
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APA DINCBAS H, Ozen A, Korkmaz Kirakli E, Akyürek S, Sert F, KARABULUT GÜL S, benli yavuz b, KOCAK Z, Demiral A, Bakkal B, Yalman D, Cukurcayir F, Barlas C, Erdem S, GÜMÜSTEPE E, Yakar M, Tepetam H, Kanyilmaz G, Umay C, Elmas Ö, BAYIR ANGIN G, Ergen S, Yılmaz H, Saynak M (2023). Recurrence Patterns in NSCLC Patients Treated with Post-operative Radiotherapy; Turkish Radiation Oncology Society Thoracic Oncology Group Study. , 136 - 144. 10.5505/tjo.2023.3921
Chicago DINCBAS HIDAYET FAZILET,Ozen Alaattin,Korkmaz Kirakli Esra,Akyürek Serap,Sert Fatma,KARABULUT GÜL SULE,benli yavuz berrin,KOCAK ZAFER,Demiral Ayşe,Bakkal Bekir Hakan,Yalman Deniz,Cukurcayir Funda,Barlas Ceren,Erdem Sevilay,GÜMÜSTEPE ESRA,Yakar Melek,Tepetam Hüseyin,Kanyilmaz Gul,Umay Cenk,Elmas Özlem,BAYIR ANGIN GÜLDEN,Ergen Sefika Arzu,Yılmaz Hasan,Saynak Mert Recurrence Patterns in NSCLC Patients Treated with Post-operative Radiotherapy; Turkish Radiation Oncology Society Thoracic Oncology Group Study. (2023): 136 - 144. 10.5505/tjo.2023.3921
MLA DINCBAS HIDAYET FAZILET,Ozen Alaattin,Korkmaz Kirakli Esra,Akyürek Serap,Sert Fatma,KARABULUT GÜL SULE,benli yavuz berrin,KOCAK ZAFER,Demiral Ayşe,Bakkal Bekir Hakan,Yalman Deniz,Cukurcayir Funda,Barlas Ceren,Erdem Sevilay,GÜMÜSTEPE ESRA,Yakar Melek,Tepetam Hüseyin,Kanyilmaz Gul,Umay Cenk,Elmas Özlem,BAYIR ANGIN GÜLDEN,Ergen Sefika Arzu,Yılmaz Hasan,Saynak Mert Recurrence Patterns in NSCLC Patients Treated with Post-operative Radiotherapy; Turkish Radiation Oncology Society Thoracic Oncology Group Study. , 2023, ss.136 - 144. 10.5505/tjo.2023.3921
AMA DINCBAS H,Ozen A,Korkmaz Kirakli E,Akyürek S,Sert F,KARABULUT GÜL S,benli yavuz b,KOCAK Z,Demiral A,Bakkal B,Yalman D,Cukurcayir F,Barlas C,Erdem S,GÜMÜSTEPE E,Yakar M,Tepetam H,Kanyilmaz G,Umay C,Elmas Ö,BAYIR ANGIN G,Ergen S,Yılmaz H,Saynak M Recurrence Patterns in NSCLC Patients Treated with Post-operative Radiotherapy; Turkish Radiation Oncology Society Thoracic Oncology Group Study. . 2023; 136 - 144. 10.5505/tjo.2023.3921
Vancouver DINCBAS H,Ozen A,Korkmaz Kirakli E,Akyürek S,Sert F,KARABULUT GÜL S,benli yavuz b,KOCAK Z,Demiral A,Bakkal B,Yalman D,Cukurcayir F,Barlas C,Erdem S,GÜMÜSTEPE E,Yakar M,Tepetam H,Kanyilmaz G,Umay C,Elmas Ö,BAYIR ANGIN G,Ergen S,Yılmaz H,Saynak M Recurrence Patterns in NSCLC Patients Treated with Post-operative Radiotherapy; Turkish Radiation Oncology Society Thoracic Oncology Group Study. . 2023; 136 - 144. 10.5505/tjo.2023.3921
IEEE DINCBAS H,Ozen A,Korkmaz Kirakli E,Akyürek S,Sert F,KARABULUT GÜL S,benli yavuz b,KOCAK Z,Demiral A,Bakkal B,Yalman D,Cukurcayir F,Barlas C,Erdem S,GÜMÜSTEPE E,Yakar M,Tepetam H,Kanyilmaz G,Umay C,Elmas Ö,BAYIR ANGIN G,Ergen S,Yılmaz H,Saynak M "Recurrence Patterns in NSCLC Patients Treated with Post-operative Radiotherapy; Turkish Radiation Oncology Society Thoracic Oncology Group Study." , ss.136 - 144, 2023. 10.5505/tjo.2023.3921
ISNAD DINCBAS, HIDAYET FAZILET vd. "Recurrence Patterns in NSCLC Patients Treated with Post-operative Radiotherapy; Turkish Radiation Oncology Society Thoracic Oncology Group Study". (2023), 136-144. https://doi.org/10.5505/tjo.2023.3921
APA DINCBAS H, Ozen A, Korkmaz Kirakli E, Akyürek S, Sert F, KARABULUT GÜL S, benli yavuz b, KOCAK Z, Demiral A, Bakkal B, Yalman D, Cukurcayir F, Barlas C, Erdem S, GÜMÜSTEPE E, Yakar M, Tepetam H, Kanyilmaz G, Umay C, Elmas Ö, BAYIR ANGIN G, Ergen S, Yılmaz H, Saynak M (2023). Recurrence Patterns in NSCLC Patients Treated with Post-operative Radiotherapy; Turkish Radiation Oncology Society Thoracic Oncology Group Study. Türk Onkoloji Dergisi, 38(2), 136 - 144. 10.5505/tjo.2023.3921
Chicago DINCBAS HIDAYET FAZILET,Ozen Alaattin,Korkmaz Kirakli Esra,Akyürek Serap,Sert Fatma,KARABULUT GÜL SULE,benli yavuz berrin,KOCAK ZAFER,Demiral Ayşe,Bakkal Bekir Hakan,Yalman Deniz,Cukurcayir Funda,Barlas Ceren,Erdem Sevilay,GÜMÜSTEPE ESRA,Yakar Melek,Tepetam Hüseyin,Kanyilmaz Gul,Umay Cenk,Elmas Özlem,BAYIR ANGIN GÜLDEN,Ergen Sefika Arzu,Yılmaz Hasan,Saynak Mert Recurrence Patterns in NSCLC Patients Treated with Post-operative Radiotherapy; Turkish Radiation Oncology Society Thoracic Oncology Group Study. Türk Onkoloji Dergisi 38, no.2 (2023): 136 - 144. 10.5505/tjo.2023.3921
MLA DINCBAS HIDAYET FAZILET,Ozen Alaattin,Korkmaz Kirakli Esra,Akyürek Serap,Sert Fatma,KARABULUT GÜL SULE,benli yavuz berrin,KOCAK ZAFER,Demiral Ayşe,Bakkal Bekir Hakan,Yalman Deniz,Cukurcayir Funda,Barlas Ceren,Erdem Sevilay,GÜMÜSTEPE ESRA,Yakar Melek,Tepetam Hüseyin,Kanyilmaz Gul,Umay Cenk,Elmas Özlem,BAYIR ANGIN GÜLDEN,Ergen Sefika Arzu,Yılmaz Hasan,Saynak Mert Recurrence Patterns in NSCLC Patients Treated with Post-operative Radiotherapy; Turkish Radiation Oncology Society Thoracic Oncology Group Study. Türk Onkoloji Dergisi, vol.38, no.2, 2023, ss.136 - 144. 10.5505/tjo.2023.3921
AMA DINCBAS H,Ozen A,Korkmaz Kirakli E,Akyürek S,Sert F,KARABULUT GÜL S,benli yavuz b,KOCAK Z,Demiral A,Bakkal B,Yalman D,Cukurcayir F,Barlas C,Erdem S,GÜMÜSTEPE E,Yakar M,Tepetam H,Kanyilmaz G,Umay C,Elmas Ö,BAYIR ANGIN G,Ergen S,Yılmaz H,Saynak M Recurrence Patterns in NSCLC Patients Treated with Post-operative Radiotherapy; Turkish Radiation Oncology Society Thoracic Oncology Group Study. Türk Onkoloji Dergisi. 2023; 38(2): 136 - 144. 10.5505/tjo.2023.3921
Vancouver DINCBAS H,Ozen A,Korkmaz Kirakli E,Akyürek S,Sert F,KARABULUT GÜL S,benli yavuz b,KOCAK Z,Demiral A,Bakkal B,Yalman D,Cukurcayir F,Barlas C,Erdem S,GÜMÜSTEPE E,Yakar M,Tepetam H,Kanyilmaz G,Umay C,Elmas Ö,BAYIR ANGIN G,Ergen S,Yılmaz H,Saynak M Recurrence Patterns in NSCLC Patients Treated with Post-operative Radiotherapy; Turkish Radiation Oncology Society Thoracic Oncology Group Study. Türk Onkoloji Dergisi. 2023; 38(2): 136 - 144. 10.5505/tjo.2023.3921
IEEE DINCBAS H,Ozen A,Korkmaz Kirakli E,Akyürek S,Sert F,KARABULUT GÜL S,benli yavuz b,KOCAK Z,Demiral A,Bakkal B,Yalman D,Cukurcayir F,Barlas C,Erdem S,GÜMÜSTEPE E,Yakar M,Tepetam H,Kanyilmaz G,Umay C,Elmas Ö,BAYIR ANGIN G,Ergen S,Yılmaz H,Saynak M "Recurrence Patterns in NSCLC Patients Treated with Post-operative Radiotherapy; Turkish Radiation Oncology Society Thoracic Oncology Group Study." Türk Onkoloji Dergisi, 38, ss.136 - 144, 2023. 10.5505/tjo.2023.3921
ISNAD DINCBAS, HIDAYET FAZILET vd. "Recurrence Patterns in NSCLC Patients Treated with Post-operative Radiotherapy; Turkish Radiation Oncology Society Thoracic Oncology Group Study". Türk Onkoloji Dergisi 38/2 (2023), 136-144. https://doi.org/10.5505/tjo.2023.3921