1.
EGFR突变与NSCLC放疗疗效的回顾性临床研究结果
Retrospective analysis on EGFR mutation and radiation treatment outcome for NSCLCs
| Reference | Study type | Patients | RT schedule | Systemic therapy | Result | Md OS (month) | |||
| WT | Mutated | WT | Mutated | ||||||
| EGFR: epidermal growth factor receptor; NSCLC: non-small cell lung cancer; TKI: tyrosine kinase inhibitor; RT: radiation therapy; WBRT: whole brain radiation therapy; RR: response rate; LRR: locoregional recurrence rate; RFS: relapse-free survival; WT: EGFR wild type; Mutated: EGFR mutated type; Md OS: median overall survival. | |||||||||
| Gow CH. et al [19] |
PhaseⅡ single institution (n=63) |
Lung adenocarcinoma with brain metastases |
WBRT 30 Gy-35 Gy/ 15 f-18 f |
With or without TKI |
RR (%): 24 (4/17) 54 (25/46) P=0.045 |
6.6 17.3 P=0.121 |
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| Mak RH. et al [20] |
PhaseⅡ single institution (n=123) |
NSCLC stage Ⅱb-Ⅲb No prior thoracic RT |
Curative RT 41.4 Gy-74 Gy |
With or without chemotherapy /surgery |
LRR (%): 41.7 (39/94) 17.8 (5/29) P=0.005 2-year RFS%: 35.8 41.4 P=0.33 |
34.7 61.2 P=0.05 |
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| Lee HL. et
al [21] |
PhaseⅡ single institution (n=43) |
NSCLC with brain metastases |
WBRT 30 Gy-40 Gy/15 f-20 f, 17 cases local boost to 50 Gy-60 Gy |
With or without TKI |
RR (%): 46 (6/13) 80 (24/30) P=0.037 RFS (month): 21.0 12.0 P=0.009 |
15.0 11.0 P=0.049 |
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