[The present status of radiotherapy in the treatment of non-small cell bronchial cancer].
GOAL. To re-define the type and place of radiotherapy in non-small cell bronchial carcinoma, where the disease is localised, either operable or non-operable, and in metastatic disease. METHOD. A review of the literature, review of the principle randomised trials and non-randomised trials describing innovative procedures, and a commentary and debate. For operable disease the indications for post-operative radiotherapy are redefined and the treatments envisaged such as those proposed using new adjuvents which may or may not include radiotherapy are discussed. For non-operable disease, different possibilities have been explored, including increased doses of treatment, modifications of the fraction regime, the association of radio-chemotherapy either concomitantly or successively. In metastatic disease the place of mediastinal radiotherapy is discussed and the possibility of radiation of the metastatic sites is recalled.
Beckendorf
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Service de Radiothérapie, Centre Alexis Vautrin, Vandoeuvre-lès-Nancy.
D001918:Brachytherapy; D001984:Bronchial Neoplasms / Q000532:radiotherapy* / Q000601:surgery; D002289:Carcinoma, Non-Small-Cell Lung / Q000532:radiotherapy* / Q000556:secondary / Q000601:surgery; D017024:Chemotherapy, Adjuvant; D002986:Clinical Trials as Topic; D003131:Combined Modality Therapy; D006801:Humans; D008175:Lung Neoplasms; D010166:Palliative Care; D011879:Radiotherapy Dosage; D018714:Radiotherapy, Adjuvant; D016032:Randomized Controlled Trials as Topic