Survival Experience Following Nd:YAG Laser Photoresection for Primary Bronchogenic Carcinoma
We followed the course of 47 consecutive patients with inoperable primary bronchogenic carcinoma who underwent palliative neodymium-yttrium-aluminum-garnet laser photoresection (YPR) between September 1983 and September 1986. Of these 47, 35 (74.5 percent) underwent both radiation therapy (XRT) and...
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| Veröffentlicht in: | Chest 1988-11, Vol.94 (5), p.939-944 |
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| creator | Desai, Shivraj J. Mehta, Atul C. Medendorp, Sharon VanderBrug Golish, Joseph A. Ahmad, Muzaffar |
| description | We followed the course of 47 consecutive patients with inoperable primary bronchogenic carcinoma who underwent palliative neodymium-yttrium-aluminum-garnet laser photoresection (YPR) between September 1983 and September 1986. Of these 47, 35 (74.5 percent) underwent both radiation therapy (XRT) and YPR. The survival of these 35 patients (median survival, 304 days) was compared with that of 58 who underwent only palliative palliative XRT (median survival, 253 days) from 1981 to 1983, when YPR was not yet available at our institution. There was no significant difference in overall survival (p = 0.17). A significant increase in survival (p = 0.04) was seen in 15 patients who underwent emergency palliative YPR as the initial therapeutic intervention compared with 11 patients who received emergency palliative XRT but would have received YPR had it been available at that time. A trend toward increased survival was also shown in patients who underwent endobronchial radiation therapy in addition to YPR and XRT. |
| doi_str_mv | 10.1378/chest.94.5.939 |
| format | Article |
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Of these 47, 35 (74.5 percent) underwent both radiation therapy (XRT) and YPR. The survival of these 35 patients (median survival, 304 days) was compared with that of 58 who underwent only palliative palliative XRT (median survival, 253 days) from 1981 to 1983, when YPR was not yet available at our institution. There was no significant difference in overall survival (p = 0.17). A significant increase in survival (p = 0.04) was seen in 15 patients who underwent emergency palliative YPR as the initial therapeutic intervention compared with 11 patients who received emergency palliative XRT but would have received YPR had it been available at that time. A trend toward increased survival was also shown in patients who underwent endobronchial radiation therapy in addition to YPR and XRT.</description><identifier>ISSN: 0012-3692</identifier><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1378/chest.94.5.939</identifier><identifier>PMID: 2460297</identifier><identifier>CODEN: CHETBF</identifier><language>eng</language><publisher>Northbrook, IL: Elsevier Inc</publisher><subject>Biological and medical sciences ; Carcinoma, Bronchogenic - mortality ; Carcinoma, Bronchogenic - radiotherapy ; Carcinoma, Bronchogenic - surgery ; Combined Modality Therapy ; Female ; Follow-Up Studies ; Humans ; Laser Therapy ; Lung Neoplasms - mortality ; Lung Neoplasms - radiotherapy ; Lung Neoplasms - surgery ; Male ; Medical sciences ; Palliative Care - methods ; Pneumology ; Retrospective Studies ; Time Factors ; Tumors of the respiratory system and mediastinum</subject><ispartof>Chest, 1988-11, Vol.94 (5), p.939-944</ispartof><rights>1988 The American College of Chest Physicians</rights><rights>1989 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c502t-5cd11b72ad2589e5e7f78d6eaf4054fba75ae0809255992e11d5af3d373e624b3</citedby><cites>FETCH-LOGICAL-c502t-5cd11b72ad2589e5e7f78d6eaf4054fba75ae0809255992e11d5af3d373e624b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,777,781,786,787,23911,23912,25121,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=7054364$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2460297$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Desai, Shivraj J.</creatorcontrib><creatorcontrib>Mehta, Atul C.</creatorcontrib><creatorcontrib>Medendorp, Sharon VanderBrug</creatorcontrib><creatorcontrib>Golish, Joseph A.</creatorcontrib><creatorcontrib>Ahmad, Muzaffar</creatorcontrib><title>Survival Experience Following Nd:YAG Laser Photoresection for Primary Bronchogenic Carcinoma</title><title>Chest</title><addtitle>Chest</addtitle><description>We followed the course of 47 consecutive patients with inoperable primary bronchogenic carcinoma who underwent palliative neodymium-yttrium-aluminum-garnet laser photoresection (YPR) between September 1983 and September 1986. Of these 47, 35 (74.5 percent) underwent both radiation therapy (XRT) and YPR. The survival of these 35 patients (median survival, 304 days) was compared with that of 58 who underwent only palliative palliative XRT (median survival, 253 days) from 1981 to 1983, when YPR was not yet available at our institution. There was no significant difference in overall survival (p = 0.17). A significant increase in survival (p = 0.04) was seen in 15 patients who underwent emergency palliative YPR as the initial therapeutic intervention compared with 11 patients who received emergency palliative XRT but would have received YPR had it been available at that time. A trend toward increased survival was also shown in patients who underwent endobronchial radiation therapy in addition to YPR and XRT.</description><subject>Biological and medical sciences</subject><subject>Carcinoma, Bronchogenic - mortality</subject><subject>Carcinoma, Bronchogenic - radiotherapy</subject><subject>Carcinoma, Bronchogenic - surgery</subject><subject>Combined Modality Therapy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Laser Therapy</subject><subject>Lung Neoplasms - mortality</subject><subject>Lung Neoplasms - radiotherapy</subject><subject>Lung Neoplasms - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Palliative Care - methods</subject><subject>Pneumology</subject><subject>Retrospective Studies</subject><subject>Time Factors</subject><subject>Tumors of the respiratory system and mediastinum</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1v1DAQxS0EKkvhyg0pB9RbUn_GMbeyakulFSABByQky-tMNq6ceLGTbfnvMc2qcOFk2fPevJmfEXpNcEWYbM5tD2mqFK9EpZh6glZEMVIywdlTtMKY0JLVij5HL1K6xflOVH2CTiivMVVyhX58mePBHYwvLu_3EB2MFoqr4H24c-Ou-Ni--35xXWxMglh87sMUIiSwkwtj0YX8FN1g4q_ifQyj7cMORmeLtYnWjWEwL9GzzvgEr47nKfp2dfl1_aHcfLq-WV9sSiswnUphW0K2kpqWikaBANnJpq3BdBwL3m2NFAZwgxUVQikKhLTCdKxlkkFN-ZadorOl7z6Gn3PmoQeXLHhvRghz0rLhSlJJs7BahDaGlCJ0er8soAnWf3DqB5xacS10xpkNb46d5-0A7aP8yC_X3x7rJlnju2hG69KjTOb5Wc3_5vZu19-5CDoNxvvclC2Jt2GOo_H_5DaLATK2g4Ook334mzab7aTb4P438m_XrKNH</recordid><startdate>19881101</startdate><enddate>19881101</enddate><creator>Desai, Shivraj J.</creator><creator>Mehta, Atul C.</creator><creator>Medendorp, Sharon VanderBrug</creator><creator>Golish, Joseph A.</creator><creator>Ahmad, Muzaffar</creator><general>Elsevier Inc</general><general>American College of Chest Physicians</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19881101</creationdate><title>Survival Experience Following Nd:YAG Laser Photoresection for Primary Bronchogenic Carcinoma</title><author>Desai, Shivraj J. ; Mehta, Atul C. ; Medendorp, Sharon VanderBrug ; Golish, Joseph A. ; Ahmad, Muzaffar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c502t-5cd11b72ad2589e5e7f78d6eaf4054fba75ae0809255992e11d5af3d373e624b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Biological and medical sciences</topic><topic>Carcinoma, Bronchogenic - mortality</topic><topic>Carcinoma, Bronchogenic - radiotherapy</topic><topic>Carcinoma, Bronchogenic - surgery</topic><topic>Combined Modality Therapy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Laser Therapy</topic><topic>Lung Neoplasms - mortality</topic><topic>Lung Neoplasms - radiotherapy</topic><topic>Lung Neoplasms - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Palliative Care - methods</topic><topic>Pneumology</topic><topic>Retrospective Studies</topic><topic>Time Factors</topic><topic>Tumors of the respiratory system and mediastinum</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Desai, Shivraj J.</creatorcontrib><creatorcontrib>Mehta, Atul C.</creatorcontrib><creatorcontrib>Medendorp, Sharon VanderBrug</creatorcontrib><creatorcontrib>Golish, Joseph A.</creatorcontrib><creatorcontrib>Ahmad, Muzaffar</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Desai, Shivraj J.</au><au>Mehta, Atul C.</au><au>Medendorp, Sharon VanderBrug</au><au>Golish, Joseph A.</au><au>Ahmad, Muzaffar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Survival Experience Following Nd:YAG Laser Photoresection for Primary Bronchogenic Carcinoma</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>1988-11-01</date><risdate>1988</risdate><volume>94</volume><issue>5</issue><spage>939</spage><epage>944</epage><pages>939-944</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><coden>CHETBF</coden><abstract>We followed the course of 47 consecutive patients with inoperable primary bronchogenic carcinoma who underwent palliative neodymium-yttrium-aluminum-garnet laser photoresection (YPR) between September 1983 and September 1986. Of these 47, 35 (74.5 percent) underwent both radiation therapy (XRT) and YPR. The survival of these 35 patients (median survival, 304 days) was compared with that of 58 who underwent only palliative palliative XRT (median survival, 253 days) from 1981 to 1983, when YPR was not yet available at our institution. There was no significant difference in overall survival (p = 0.17). A significant increase in survival (p = 0.04) was seen in 15 patients who underwent emergency palliative YPR as the initial therapeutic intervention compared with 11 patients who received emergency palliative XRT but would have received YPR had it been available at that time. A trend toward increased survival was also shown in patients who underwent endobronchial radiation therapy in addition to YPR and XRT.</abstract><cop>Northbrook, IL</cop><pub>Elsevier Inc</pub><pmid>2460297</pmid><doi>10.1378/chest.94.5.939</doi><tpages>6</tpages></addata></record> |
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| subjects | Biological and medical sciences Carcinoma, Bronchogenic - mortality Carcinoma, Bronchogenic - radiotherapy Carcinoma, Bronchogenic - surgery Combined Modality Therapy Female Follow-Up Studies Humans Laser Therapy Lung Neoplasms - mortality Lung Neoplasms - radiotherapy Lung Neoplasms - surgery Male Medical sciences Palliative Care - methods Pneumology Retrospective Studies Time Factors Tumors of the respiratory system and mediastinum |
| title | Survival Experience Following Nd:YAG Laser Photoresection for Primary Bronchogenic Carcinoma |
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