Evaluation of response to chemoradiotherapy in non-small cell lung carcinomas in early stages

Authors

  • Neivys González-Aranda Hospital Universitario Clínico Quirúrgico Comandante Faustino Pérez Hernández. Matanzas https://orcid.org/0009-0006-8461-3892
  • Kirenia Camacho-Sosa Hospital Universitario Clínico Quirúrgico Comandante Faustino Pérez Hernández. Matanzas
  • Lisandry Alonso-Lemus Hospital Universitario Clínico Quirúrgico Comandante Faustino Pérez Hernández. Matanzas
  • Luis Enrique Curbelo-Gutiérrez Hospital Universitario Clínico Quirúrgico Comandante Faustino Pérez Hernández. Matanzas

Keywords:

lung cancer, response assessment, early stages, chemoradiotherapy

Abstract

Introduction: Lung cancer is the most common cause of death from malignant diseases in the world. The response rate to treatment is poor even in the initial stages and depends on several elements.

Objective: To evaluate the response to chemoradiotherapy in lung carcinomas in early stages according to smoking habit, histology and clinical stage at diagnosis.

Materials and method: An analytical, cross-sectional, retrospective evaluation study was carried out; the universe consisted of 45 patients with a cytohistological diagnosis of non-small cell lung cancer in stages from IA to IIIA, who received first-line treatment with chemoradiotherapy, attended at the Provincial Cancer Center of Matanzas, in the period of January 2017 to December 2019.

Results: A complete response was obtained in 36.6% of non-smokers and in 25% of smokers. Regarding complete response to chemoradiotherapy of lung tumors according to histology, in adenocarcinomas it was 10%, in epidermoids, 22.6%, and in adenosquamous cell, 50%. In stages IA-IB, 50% of the cases presented a complete response, in stages IIA-IIB, 37.5%, while in IIIA partial response predominated.

Conclusions: The best percentages of complete response were obtained in non-smokers, with adenosquamous histology type and in stages IA-IB.

Downloads

Download data is not yet available.

References

1. Instituto Nacional del Cáncer. Tratamiento del cáncer de pulmón de células no pequeñas [Internet]. Maryland: Institutos Nacionales de Salud (NIH); 2022 [citado 13/11/2022]. Disponible en: https://www.cancer.gov/espanol/tipos/pulmon/paciente/tratamiento-pulmon-celulas-no-pequenas-pdq

2. Asociación Española Contra el Cáncer. Cáncer de pulmón [Internet]. Madrid: Asociación Española Contra el Cáncer; 2021 [citado 20/11/2022]. Disponible en: https://www.contraelcancer.es/es/todo-sobre-cancer/tipos-cancer/cancer-pulmon

3. Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209-49. DOI: 10.3322/caac.21660.

4. Dirección de Registros Médicos y Estadísticas de Salud. Anuario estadístico de salud 2020 [Internet]. La Habana: Ministerio de Salud Pública de Cuba; 2021 [citado 19/08/2022]. Disponible en: https://salud.msp.gob.cu/wp-content/Anuario/Anuario-2020.pdf

5. Águila C, Chamorro H. Perfil actual de los programas de cesación de tabaquismo en Chile. Rev Chil Enferm Respir [Internet]. 2019 [citado 19/08/2022];35(1):43-8. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-73482019000100043&lng=es

6. Sánchez Ríos CP, Rumbo Nava U, Báez Saldaña R, et al. Perfil mutacional de EGFR en adenocarcinoma pulmonar en pacientes fumadores y no fumadores. Neumol Cir Torax [Internet]. 2018 [citado 05/09/2022];77(2):137-44. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=80477

7. Flores Vega YI, Neninger Vinagera E, Páramo González DL, et al. Diagnóstico y tratamiento del cáncer de pulmón. La Habana: Editorial Ciencias Médicas; 2020.

8. Vincent T, DeVita J, Theodore S, et al. DeVita, Hellman, Rosenberg’s. Cancer: Principles & Practice of Oncoligy Review [Internet]. Filadelfia: Wolters Kluwers; 2009 [citado 11/07/2022]. Disponible en: https://books.google.com.cu/books/about/DeVita_Hellman_and_Rosenberg_s_Cancer.html?id=yrBI5zx69X8C&redir_esc=y

9. Stahel RA, Peters S, Garassino MC. Thoracic tumours [Internet]. Lugano: European Society for Medical Oncology; 2019 [citado 18/07/2022]. Disponible en: https://oncologypro.esmo.org/education-library/esmo-books/essentials-for-clinicians/thoracic-tumours/preface

10. Ettinger DS, Wood DE, Aisner DL, et al. Non-Small Cell Lung Cancer, Version 3.2022, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw [Internet]. 2022 [citado 26/06/2023];20(5):497-530. Disponible en: https://jnccn.org/view/journals/jnccn/20/5/article-p497.xml

11. Pérez-García S, Pérez-García S, Ramos-Cordero A, et al. Caracterización de pacientes con cáncer de pulmón en Policlínico Universitario “Fermín Valdez Domínguez” de Viñales. Corr Cient Méd [Internet]. 2022 [citado 26/06/2023];26(2). Disponible en: https://revcocmed.sld.cu/index.php/cocmed/article/view/4095/2106

12. Casal Mouriño A. Supervivencia del cáncer de pulmón en nunca fumadores [tesis en Internet]. Galicia: Universidad de Santiago de Compostela; 2021 [citado 26/06/2023]. Disponible en: https://minerva.usc.es/xmlui/handle/10347/26939

13. González Díaz D, Díaz Toledo M, Díaz Garrido D, et al. Respuesta al tratamiento con poliquimioterapia en pacientes con carcinoma no microcítico. Rev Cubana Med [Internet]. 2020 [citado 26/06/2023];59(2):e1358. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75232020000200005

14. Díaz Garrido D, León Valdivies YJ, Fernández García S, et al. Respuesta al tratamiento oncoespecífico en carcinomas no microcíticos etapa IIIA no quirúrgica. Acta méd Grupo Ángeles [Internet]. 2017 [citado 26/06/2023];15(1):20-4. Disponible en: https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S1870-72032017000100020

Published

2024-03-28

How to Cite

1.
González-Aranda N, Camacho-Sosa K, Alonso-Lemus L, Curbelo-Gutiérrez LE. Evaluation of response to chemoradiotherapy in non-small cell lung carcinomas in early stages. Rev Méd Electrón [Internet]. 2024 Mar. 28 [cited 2025 Jan. 23];46:e5278. Available from: https://revmedicaelectronica.sld.cu/index.php/rme/article/view/5278

Issue

Section

Short communication

Most read articles by the same author(s)