Abstract
When high energy X-ray equipment was developed to produce sufficiently penetrating beams to treat deep-seated intrathoracic tumours, it became evident that regression of lung cancers could be achieved. For the majority of patients radiotherapy provided only a short remission of symptoms produced by local compression or infiltration of intrathoracic structures by tumour. In 1956 however Smart and Hilton reported on 40 highly selected cases of whom nine (22.5%) survived 5 years. Since than there have been many reports confirming that 2%–10% of patients with inoperable lung cancer can be cured by radiotherapy. With such a small cure rate in a very common condition it is especially important to identify as carefully as possible those patients who are most likely to benefit from treatment and the most effective way of delivering it.
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References
Abadir R, Muggia FM (1975) Irradiated lung cancer — An autopsy analysis of spread pattern. Radiology 114: 427–430
Abramson N, Cavanaugh PJ (1973) Short-course radiation therapy in carcinoma of the lung. Radiology 108: 685–687
Beling U, Einhorn J (1965) Radiotherapy for carcinoma of the lung. Acta Radiol 3: 281–286
Bloedorn FG, Cowley RA, Cuccia CA et al. (1964) Pre-operative radiation in bronchogenic carcinoma. AIR 92: 77–87
Bromley LL, Szur L (1955) Combined radiotherapy and resection for carcinoma of the bronchus: Experiences with 66 patients. Lancet 2: 937–941
Caldwell WL, Bagshawe MA (1968) Indications for and results of irradiation of carcinoma of the lung. Cancer 22: 999–1004
Cox JD, Eisert DR, Komaki R et al. (1979) Patterns of failure following treatment of apparently localised carcinoma of the lung. Ìn: Muggia F, Rosencweig M (eds) Lung cancer: Progress in therapeutic research. Raven, New York, pp 279–288
Coy P, Kennelly GM (1980) The role of curative radiotherapy in the treatment of lung cancer. Cancer 45: 698–702
Deeley TM, Singh SP (1967) Treatment of inoperable carcionmas of the bronchus by megavoltage X-rays. Thorax 22: 562–566
Emami B, Melo A, Carter BL, Munzenrider JE, Piro AJ (1978) Value of computed tomography in radiotherapy of lung cancer. AJR 131: 63–67
Eichhorn H-J (1982) Results of a pilot study on neutron therapy with 600 patients. Int J Radiat Oncol Biol Phys 8 /9: 1561–1565
Guttman RJ (1971) Radical supervoltage therapy in inoperable carcinoma of the lung. In: Deeley TJ
ed) Modern radiotherapy carcinoma of the bronchus. Butterworths, London, pp 181–195
Hilaris B, Martini M (1971) Interstitial brachytherapy in cancer of the lung: A 20 year experience. Int J Radiat Oncol Biol Phys 5: 1951–1956
Hobday PA, Hodson NJ, Husband JE et al. (1980) Changes in treatment plans resulting from CT scan localisations. Br J Radiol [Suppl] 15: 103–106
Holsti L, Vuorinen P (1967) Radiation reaction in the lung after continuous and split course megavoltage radiotherapy of lung cancer. Br J Radiol 40: 280–284
Lee RE (1974) Radiotherapy of bronchogenic carcinoma. Semin Oncol 1, 3: 245–251
Levitt SH, Bogardus CR, Ladd G (1967) Split dose intensive radiation therapy in the treatment of advanced lung cancer. Radiology 88: 1159–1161
McEwen JB (1971) Methods of improving results of radiation. IV. Hyperbaric oxygen. In: Deeley TJ (ed) Modern radiotherapy carcinoma of the bronchus. Butterworths, London, pp 241–245
Moise TS (1921) Primary carcinoma of the lungs Arch Intern Med 28: 733–772
Morrison R, Deeley TJ, Cleland WP (1963) The treatment of carcinoma of the bronchus. A clinical trial to compare surgery and supervoltage radiotherapy. Lancet 1: 683–684
Neeley JM (1925) Primary carcinoma of the lung: a pathological and clinical study based on 80 cases. Nebr Med J 20: 693–695
Perez CA, Stanley K, Robin P et al. (1980) A prospective randomised study of various irradiation doses and fractionation schedules in the treatment of inoperable non-oat-cell carcinoma of the lung. Cancer 45: 2744–2753
Perez CA, Stanley K, Grundy G et al. (1982) Impact of irradiation technique and tumour extent on tumour control and survival of patients with unresectable non oat cell carcinoma of the lung. Cancer 50: 1091–1099
Perez-Tamayo R, Soberon M (1969) The place of radiotherapy in the treatment of bronchogenic carcinoma. Mo Med 66: 876–880
Pierquin B, Gravis P, Gelle X (1965) Etude de 688 cas de cancers bronchiques traités par teleradio therapie (200 kV et 22 MV). J Radiol 46: 201–216
Rissanen PM, Tikka U, Holsti LR (1968) Autopsy findings in lung cancer treated with megavoltage radiotherapy. Acta Radiol Oncol Radiat Phys Biol 7: 433–442
Rogers WL (1932) Primary cancer of the lung: a clinical and pathological survey of 327 cases. Arch Intern Med 49: 1058–1077
Rubin P (ed) (1975) Radiation biology and pathology Syllabus. American College of Radiology, Chicago, pp 132–141
Salazar OM (1979) Tumour contol and radiation toxicity in the treatment of lung cancer: An analysis of time-dose-volume factors. In’ Muggia F, Rosencweig M (eds) Lung cancer: Progress in therapeutic research. Raven, New York, pp 267–278
Salazar OM, Rubin P, Brown JC et al. (1976) Predictors of radiation response in lung cancer. A clinico-pathological analysis. Cancer 37: 2636–2650
Saunders MI, Anderson P, Dische S et al. (1982) A controlled clinical trial of misonidazole in the radiotherapy of patients with carcinoma of the bronchus. Int J Radiat Oncol Biol Phys 8 /9: 347–350
Seydel GH, Kutcher GJ, Steiner RM et al. (1980) Computed tomography in planning radiation therapy for bronchogenic carcinoma. Int J Radiat Oncol Biol Phys 6: 601–606
Shields TW, Higgins GA, Lawton R et al. (1970) Pre-operative X-ray therapy as an adjuvant in the treatment of bronchogenic carcinoma. J Thorac Cardiovasc Surg 59: 49–61
Smart J, Hilton G (1956) Radiotherapy of cancer of the lung: results in a selected group of cases. Lancet 270: 880–882
Stanley KE (1980) Prognostic factors for survival in patients with inoperable lung cancer. J Natl Cancer Inst 65: 25–32
Stewart JR, Cohn KE, Fagarido LF et al. (1967) Radiation induced heart disease, a study of twenty-five patients. Radiology 89: 302–310
Van Houtte P, Piron A, Lustman-Maréchal J, Osteaux M, Henry J (1980) Computed axial tomographiy ( CAT) contribution for dosimetry and treatment evaluation in lung cancer. Int J Radiat Oncol Biol Phys 6: 995–1000
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© 1984 Springer-Verlag Berlin · Heidelberg
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Ash, D. (1984). Role of Radiotherapy. In: Duncan, W. (eds) Lung Cancer. Recent Results in Cancer Research, vol 92. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-82218-6_9
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DOI: https://doi.org/10.1007/978-3-642-82218-6_9
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