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Stereotactic body radiation therapy versus fractionated radiation therapy for early-stage bronchopulmonary carcinoid.


ABSTRACT:

Aim

To compare trends and outcomes in early stage bronchopulmonary carcinoid (BPC) tumors treated nonoperatively with conventionally fractionated radiotherapy (CFRT) and stereotactic body radiotherapy (SBRT).

Methods/materials

We queried the National Cancer Database for primary (typical) BPC staged cT1-2N0M0 and treated nonsurgically with lung-directed radiation and ≥1 month of follow-up. Odds ratios were used to predict likelihood of SBRT treatment and multivariable Cox regression determined predictors of survival.

Results

Out of 154 patients, 84 (55%) were treated with SBRT and the remainder were treated with CFRT. Although SBRT use was 0% from 2004 to 2007, it varied from 50 to 70% per year thereafter. Propensity-matched Kaplan-Meier analysis revealed improved survival with lung SBRT (median: 66 vs 58 months; p = 0.034).

Conclusion

SBRT for early stage, primary BPC has increased over time and was associated with higher survival than CFRT.

SUBMITTER: Wegner RE 

PROVIDER: S-EPMC6891931 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature

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Publications

Stereotactic body radiation therapy versus fractionated radiation therapy for early-stage bronchopulmonary carcinoid.

Wegner Rodney E RE   Abel Stephen S   Horne Zachary D ZD   Hasan Shaakir S   Colonias Athanasios A   Verma Vivek V  

Lung cancer management 20190821 3


<h4>Aim</h4>To compare trends and outcomes in early stage bronchopulmonary carcinoid (BPC) tumors treated nonoperatively with conventionally fractionated radiotherapy (CFRT) and stereotactic body radiotherapy (SBRT).<h4>Methods/materials</h4>We queried the National Cancer Database for primary (typical) BPC staged cT1-2N0M0 and treated nonsurgically with lung-directed radiation and ≥1 month of follow-up. Odds ratios were used to predict likelihood of SBRT treatment and multivariable Cox regressio  ...[more]

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