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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao https://doi.org/10.1...arrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
https://doi.org/10.1159/000262...
Part of book or chapter of book . 2009 . Peer-reviewed
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Stage III: Definitive Chemoradiotherapy

Authors: Rainer Fietkau; Sabine Semrau;

Stage III: Definitive Chemoradiotherapy

Abstract

Concurrent chemoradiotherapy is presently the standard treatment for stage III inoperable non-small cell lung cancer. Within this treatment framework, conventionally fractionated radiotherapy to a total dose of 60-66 Gy has proven effective. The chemotherapy should be performed using a cisplatin-based regimen or, if contraindicated, carboplatin. The base drug can be combined with another cytostatic, such as etoposide, vinorelbine, paclitaxel or gemcitabine. There is no evidence from randomized clinical trials suggesting that addition of induction chemotherapy or adjuvant chemotherapy to the concurrent chemotherapy regimen improves the prognosis of these patients. Therefore, induction or adjuvant chemotherapy should not be used outside the framework of clinical trials. Age over 70 years and concomitant diseases are not contraindications for concurrent radiochemotherapy per se, but an increased rate of side effects can be expected in such elderly patients or patients with comorbidities. Consequently, these patients require intensive supportive care. Presumably, advanced age is not an adverse prognostic factor per se, but reduced heart and lung function are. Conclusive evidence confirming this assumption is lacking.

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Keywords

Lung Neoplasms, Antineoplastic Agents, Radiotherapy Dosage, Combined Modality Therapy, Survival Rate, Treatment Outcome, Chemotherapy, Adjuvant, Carcinoma, Non-Small-Cell Lung, Lymphatic Metastasis, Humans, Aged, Neoplasm Staging

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    popularity
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    influence
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
7
Average
Average
Average
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