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Vol. 16. Issue 1.
Pages 1-3 (January - March 1980)
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Vol. 16. Issue 1.
Pages 1-3 (January - March 1980)
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Avances en el tratamiento del carcinoma broncopulmonar inoperable: estudio comparativo entre radioterapia aislada tipo split-course y una asociacion radio-quimio-inmunoterapica
Advances in the treatment of inoperable bronchopulmonary carcinoma: comparative study between isolated split-course type radiotherapy and a radio-chemo-immunotherapeutic association
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H. Pourquier*, J.B. Dubois*, A. Valls-Fontanals*, B. Serrou**, F.B. Michel***
* Servicio de Radioterapia. Centro Paul Lamarque. Clinique St. Eloi. Montpellier 34059. Montpellier
** Servicio de Quimio-inmunoterapia. Centro Paul Lmarque. Clinique St. Eloi. Montpellier 34059. Montpellier
*** Servicio de Neumonología. Clinique Aiguelongue 34000. Montpellier
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Resumen

Los autores demuestran en un estudio comparativo con distribución al azar, sobre 64 pacientes afectos de carcinoma broncopulmonar inoperable, la superioridad, en cuanto a supervivencia, de una asociación radio quimio inmunoterapia sobre la radioterapia aislada.

Los tratamientos empleados consisten en una radioterapia tipo splitcourse (dos tandas de 2.000 rads en cinco sesiones, separadas por tres semanas de reposo) común a los dos grupos, y una quimio-inmunoterapia a base de Adriamicina (50 mg/m2), Vincristina (1 mg/m2), CCNNU (50 mg/m2) y 5-FU (500 mg/m2), seguida de la administración por escarificación, de 150 mg. de BCG fresca, los días 14, 21, 28 y 35.

La supervivencia a un año es de 49,3 %, mientras que para el grupo control, sólo tratado con radioterapia, ésta es de 29.1 %.

Summary

In a comparative study with random distribution of 64 patients suffering from inoperable bronchopulmonary carcinoma the authors demonstrate the superiority of a radio-chemo-immunotherapeutic association over isolated radiotherapy insofar as survival is concerned.

The treatments used consisted of split-course type radiotherapy (two series of 2000 rads in five sessions, separated by three weeks of rest) common to both groups, and chemo-immuno-therapy based on Adriamycin (50 mg/m2), Vincristine (1 mg/m2), CCNU (50 mg/m2) and 5-FU (500 mg/m2), followed by the administration by scarification of 150 mg of fresh BCG on the 14th, 21 st. 28th and 35th days.

The survival rate at one year was of 49.3 % whereas that for the control group, treated only with radiotherapy, was of 29.1 %.

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Copyright © 1980. Sociedad Española de Neumología y Cirugía Torácica
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