cancer stages
cancer symptoms
lung cancer
lung cancer signs
lung cancer stages
Prognosis
small cell cancer
smoking lung cancer
symptoms lung cancer
symptoms of cancer
Stages
of lung cancer is when a doctor to learn the weight of the disease if
the diagnosis was found to be lung cancer. The treatment of lung
cancer vary depending on the size of the tumor and on how much it has
spread. Staging is done to find out if the cancer has spread and, if
so, to what part of the body. Lung cancer is known to spread to the
brain or bone, and knowing how many have come forward to help the
doctor in planning treatment more useful. Some tests used to
determine if the cancer has spread include CAT (or CT) scan, MRI,
bone scan, mediastinoscopy / mediastinotomy.
Lung
cancer cell small Limited, extended or repeated is stage three lung
cancer cell small.
Stage
limited: Cancer is found in one lung and in the sap white nearby.
Treatment might be one of the following: chemotherapy and radiation
to the body / therapy chest up, chemotherapy with or without iradiasi
kranial profilaksis, surgery followed by chemotherapy with or without
iradiasi kranial profilaksis, clinical trials are testing new drug
and treatment new.
Stage
extensive: Cancer has spread from the lungs to the tissues and organs
in the chest and other parts of the body. Treatment might be one of
the following: chemotherapy and radiation to the body / therapy chest
part above, therapeutic radiation to part of the body where the
cancer has spread, clinical trials are testing new drug and treatment
new.
Stage
over and over: A cancer that has come back shows up in the lungs or
in another part of the body. Treatment for kekambuhan can include be
one of the following: treatment of radiation, chemotherapy,
therapeutic laser, therapeutic radiation or surgical implant device
for keeping the air duct open, testing clinical trials new drug.
Cell
non-Small Cancer of the Lungs:lung
cancer is not cells little used system of staging traditional. tumor
lung cancer not cells little may have many stages because they grow
more slowly than lung cancer cells small.
On
the occult Stage: No tumor can be detected in the lungs at this
stage, but cell-cancer cells found on the dahak. Lung cancer was
found in the early stages this is often cured with surgery.
Stage
0: Cancer found only in the lungs and only in a few cells. Treatment
may be surgery or therapy photodynamic, because you haven't grown up
through the layer of the top of his lungs.
Stadium
I: the Cancer is only found in the lungs and is surrounded by a
network of normal. Treatment may consist of one of the following:
Surgery, therapy radiation, clinical trials chemotherapy, clinical
trials chemo prevention, clinical trials therapy photodynamic.
Stage
II: cancer has increased to include the sap white nearby. Treatment
can consists of: Surgery to lift the tumor and gland sap white,
therapy radiation, surgery and / or therapy of radiation with or
without chemotherapy.
Stage
3A: Cancer has spread to the wall of the chest or diaphragm. It can
spread to the glands sap white separates both lungs or in the sap
white on the other side of the chest or in the neck. Treatment for
stage IIIA can be treated with surgery, but usually will consist of:
Surgery, chemotherapy and maintenance other operation and maintenance
radiation, therapy radiation, therapy laser and / or treatment of
radiation internally.
Stage
3B: Cancer has spread to the wall of the chest and possibly the
diaphragm near the lung. It also may have spread to the glands sap
white in the area that separates both the lungs and the glands sap
white on the other side of the chest or in the neck. Cancer stadium
IIIB is usually in surgery. Treatment might be one of the following:
the treatment of radiation, chemotherapy plus radiation treatment,
chemotherapy, plus treatment is radiation followed by surgery,
chemotherapy.
Step
4: the Cancer has spread to other parts of the body. Treatment
usually includes: the treatment of radiation, chemotherapy,
chemotherapy and therapy radiation, therapy laser or therapy
radiation internal.
Supplicants:
Cancer has returned after treatment before. Treatment may include the
following: Therapy radiation to control the symptoms of cancer,
chemotherapy, chemotherapy with therapeutic radiation, surgery to
lift the tumor, therapy laser or therapy radiation internal
radio-surgery.
A
guide to rough for the survival of lung cancer in the stage of
non-small based on the level of survival cells at 5 years: phase 1 is
47%, Stage II is 26%, Stage III is 8%, and Stage IV is 2%. In 5 years
this is based on patients diagnosed and treated at first more than
five years ago, so the level of survival when it's expected to be
promising. lung cancer -stadi
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know one there's a lot of information about lung cancer that spread
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About MyLungCancerGuide.com. While You're in there, You will find
this article on stages of lung cancer and many items other useful,
very straight forward.
Lung
cancer is a very serious cancer. This is deadly, especially when the
growth of uncontrolled cells is abnormal in the lungs has spread to
organs other inside the body.
Cells-cancer
cells can divide and can spread to other parts of the body to form a
site for a secondary, make it more fatal.
When
cancer is in the advanced, is the management of a little 'more
difficult. It may help to know that that is detected early-stage lung
cancer is best to ensure that the choice to put lung cancer in digger
or something.
If
detected early-stage lung cancer didn't happen, diagnosis in the
advanced may be more difficult to manage the symptoms and it can also
be too difficult.
the
treatment of lung cancer really depends on the severity of disease.
Know the kind of lung cancer You suffer from can help in the
management of the disease.
There
are two types of lung cancer, lung cancer cell small, and lung cancer
non-cell small.
lung
cancer cell small or karsinoma sel oat lungs covering twenty-five
percent of all cases of lung cancer. The leading cause of lung cancer
cancer cells little cigarette smoke.
Generally,
because of symptoms of lung cancer doesn't happen in the early stages
of the disease, treat it will be a big problem especially when
detection happens when metastasis of cancer or cell tumor secondary
that's been developed in the organs of the body to another.
lung
cancer not the cells are small, on the other hand, involve a
different kind of a tumor lungs. Diferensiasi kind of lung cancer not
cells little depending on the type of cell exposed.
Three
kinds of common of lung cancer not cells little is karsinoma sel
skuamosa, adenokarsinoma, and karsinoma sel big.
Forms
lung cancer cells non-small tend to grow and spread more slowly than
karsinoma lung cells small.
Karsinoma
sel skuamosa is lung cancer the most common non-cell small. The kind
of lung cancer not cell small starting in the bronkus big and stay
confined to the breast cancer other than the lungs, because of this,
the cancer don't spread more quickly than the other kind.
Adenocarcinoma,
the leading cause of of lung cancer not cells little is still a
challenge for experts medical. Thus, experts continue to study the
leading cause of cancer. Even with this research is delayed, smoke
and breathe the air pure still considered as the main in the extent
of lung cancer.
Doctors
believe that the tumor in this kind of lung cancer is at the edge of
the outside of the lungs and under the layer of bronkus. Development
of lung cancer is not cells little average but the chances of
survival about 10% of the stock.
Adenokarsinoma
is for 30-35 percent of all cases of lung cancer in America.
lung
cancer cells big is a lung cancer cell other non-small. The Tumor in
this kind of cancer of the lungs is the bronchi smallest. Fifteen
percent of cases of lung cancer are lung cancer cells big.
Among
all lung cancer is not a cell little, what kind of lung cancer to
evolve more quickly, almost to the level of the cell small lung
cancer.
Of
the lung case cancer is fourteen percent of all cases of cancer in
the United States. At worst, twenty-eight percent of all death among
patients with cancer is the case of lung cancer.
To
avoid being part of the statistics on lung cancer, does not guarantee
that You will get a lung cancer cell, small or even lung cancer cell
slowest non-small with living a lifestyle healthy and active.
Sports
regularly, eat a diet balanced and avoid exposure to pure air,
including the smoke will help strengthen the immune system and this
will avoid to get the disease deadly.
Genetic mutations that cause cancer
generally occur in two types of genes:
Tumor-suppressor genes, which
prevent cells from endlessly copying themselves
Proto-oncogenes, which encourage
cells to keep making copies of themselves [when a proto-oncogene changes
(becomes mutated), it is then called an oncogene]
Damage to either type of gene can
cause a mutation that results in uncontrolled division of cells. This
uncontrolled division forms tumors.
Cancer can be the result of a
genetic predisposition that is inherited from family members. It is possible to
be born with certain genetic mutations or a fault in a gene that makes one
statistically more likely to develop cancer later in life. Genetic
predispositions are thought to either directly cause lung cancer or greatly
increase one's chances of developing lung cancer from exposure to certain
environmental factors.
Lung cancer is the most common
cause of cancer death worldwide, with over one million cases annually. The
five-year relative survival rate for lung cancer is only 10-15%. In
approximately 90% of the cases, cigarette smoking is the main etiologic factor.
We often associate lung cancer with
tobacco, but 25-year-old Matthew Hiznay is a lung cancer patient who never
smoked a cigarette. He is battling a rare form of genetic lung cancer for the
second time in less than two years.
Screening tumor samples for
cancer-causing genetic mutations can help physicians tailor treatment to
specifically target those mutations in patients with advanced lung cancer.
Other risk factors include radon
exposure, or exposure to nickel-, chrome-, cadmium-, arsenic- and asbestos
compounds. Lung cancer sometimes aggregates in families, suggesting that
genetic predisposition may also play a role in the development of lung cancer.
It is unlikely that a single
specific abnormality causes all lung cancer. It probably takes a variety of
mutations to start the devastating chain of events leading to cancer. The
following mutations are among those under investigation:
EGFR mutations: EGFR (epidermal
growth factor receptor gene) is a family of genes that can mutate and promote
tumor growth. This gene mutation is often implicated in non-smokers. HER2 is a
related gene under study that plays a role in regulating cell growth.
BPDE-caused mutations: The chemical
BPDE, a byproduct of tobacco smoke, is involved with a number of genetic
mutations, including those to an oncogene called K-ras and to three
tumor-suppressor genes known as p53, PPP2R1B, and p16. (Tumors that contain the
p53 mutation may also be more resistant to chemotherapy.)
Rb mutations: Another important
contributor to lung cancer is a genetically defective protein called retinoblastoma
(Rb), which is associated with very aggressive tumors. Low levels of the normal
Rb gene may sometimes predict aggressive cancer, especially in patients with
small cell lung cancer.
Abnormalities in the FHIT gene:
Such abnormalities may cause the cells lining the lung to become more
vulnerable to the effects of tobacco smoke and other cancer-causing substances.
Alpha1-antitrypsin mutations:
People who carry a common variation in the gene for alpha1-antitrypsin -- a
substance that normally protects the walls of the alveoli in the lungs -- are
70% more likely to develop lung cancer than those without the mutation,
regardless of whether they smoke.
Many other gene mutations have been
implicated including BRCA1,RAP80, RRM1, ERCC1, and TS. Scientists continue to
explore the complex relationship between various genes that play a role in cell
production and what environmental factors give rise to cancer.
Medical centers are beginning to
test tumors for specific gene mutations affecting tumor growth. The hope is
that an accurate "genetic fingerprint" can help doctors prescribe the
most effective and appropriate treatment options.
When Hiznay was about to begin his
second year of medical school at the University of Toledo College of Medicine,
a persistent dry cough sent him to his family doctor, who made a preliminary
diagnosis of a lung disease — sarcoidosis — and referred him to Cleveland
Clinic.
A new study detected one of ten
such mutations in 54 percent of the 516 lung cancer patients tested at
diagnosis. The results enabled doctors to select the most appropriate drug
designed to block the identified mutation and choose other treatment options
for those patients whose tumors did not have a mutation.
Air pollution caused by industry, power plants and vehicles
of various types raises the likelihood of developing Lung Cancer in persons who
are exposed polluted air. Approximately one-percent of the deaths from Lung
Cancer are attributed to breathing polluted air. Prolonged exposure to air
pollution may carry risks for developing Lung Cancer which are similar to
Passive Smoking; according to experts. Air pollution can contain trace amounts of diesel exhaust,
coal products, and other industrial substances.
Air pollution is a significant environmental risk factor for
lung cancer. For every increase of 5 μg/m3 of particulate matter (PM) smaller
than 2.5 μm in diameter (PM2.5) in the environment, the risk of lung cancer
rises by 18%; for every elevation of 10 μg/m3 in PM smaller than 10 μm (PM10),
the risk increases by 22% (Raaschou-Nielsen et al., 2013). Anthropogenic PM2.5
is associated with 220,000 lung cancer mortalities annually (Anenberg et al.,
2010). Based on sufficient evidence of carcinogenicity, the International
Agency for Research on Cancer (IARC) Working Group recently classified outdoor
air pollution and related PM as Group 1 carcinogenic to humans (Loomis et al.,
2013). However, the carcinogenic mechanism of air pollution remains to be
dissected using systematic approaches.
Air pollution is killing about 4,400 people in China every
single day, according to a new study. Exposure to air pollution has many impacts across the
lifespan and has now been linked to survival of patients after being diagnosed
with lung cancer, the most commonly diagnosed cancer over the past several
decades.
People most susceptible to severe health problems from air
pollution are:
Individuals with heart disease - such as coronary artery
disease or congestive heart failure
Individuals with lung disease - such as asthma, emphysema or
chronic obstructive pulmonary disease (COPD)
Pregnant women
Outdoor workers
Children under age 14, whose lungs are still developing
Athletes who exercise vigorously outdoors
Air pollution is a major environmental issue affecting people
across the world. According to the World Health Organisation(WHO), more than 2
million people worldwide die every year from air pollution. Of all the air
pollutants, fine particulate matter (PM) is one of the most hazardous pollution
for the human health. The particulate matter causes about 9% of lung cancer
deaths worldwide, 5% of cardiopulmonary deaths and about 1% of respiratory
infection deaths. According to the WHO, there is mounting evidence that
concentration of particulate matter is increasing in Asia. Particulate matter
mostly originates from dust storms, grassland fires, burning of fossil fuels in
vehicles, power plants, but also various industrial plants generate significant
amounts of particulates. The interactive map shows that South Asia is badly hit
by pollution caused by particulate matter. While Pakistan has the highest
concentration of particulate matter, countries like Bangladesh, Nepal and India
are placed by the WHO in a category called “unhealthy for the sensitive
people”. That means people in these countries suffering from respiratory and
heart disease, as well as elderly and children should limit outdoor exertion.
Air pollution in China is as bad, if not worse, than in India but according to
the WHO,the particulate matter concentration in China and in countries such as
Myanmar, Sri Lanka, South Korea and Indonesia remains moderate. There is the
least presence of particulate matter in Philippines, Malaysia, Thailand,
Singapore and Japan.
In a groundbreaking Oct. 17 announcement, the International
Agency for Research on Cancer (IARC), an agency of the World Health
Organization, classified outdoor air pollution as a known cause of lung cancer.
The agency also found that particulate matter (PM), a major component of air
pollution better known as “soot,” is a known cause of lung cancer.After an extensive review of more than 1,000
scientific studies from five continents, a committee of some of the world’s
leading experts on air pollution and health convened by the IARC Monographs
Programme concluded that there is sufficient evidence that exposure to outdoor
air pollution causes lung cancer. Though IARC has previously evaluated the
health impacts of various components of outdoor air pollution, such as diesel
engine exhaust, metals, and solvents, this is the first time that outdoor air
pollution in general has been classified as a cause of cancer.
High air pollution levels can cause immediate health
problems:
Aggravated cardiovascular and respiratory illness
Added stress to heart and lungs, which must work harder to
supply the body with oxygen
Damaged cells in the respiratory system
Researchers from Berkeley Earth, a California-based climate
research organization, calculated that about 1.6 million people in China die
every year from health issues caused by the country’s notoriously polluted air.
“We thought that if ambient air pollution is a carcinogen
that can drive lung cancer development, then exposure to air pollution in
patients already diagnosed with lung cancer could promote the progression of
their disease through the same biological pathways,” said Sandrah Eckel,
assistant professor of preventive medicine at the Keck School of Medicine of
USC and lead author of the research. Eckel and colleagues at the Keck School
decided to more closely explore the question of whether lung cancer survival
times might be affected by air pollution.
The particulate matter represents a complex mixture of solid
and liquid particles suspended in the air, many of which are hazardous. These
particles are either directly emitted into the air by sources such as smoke,
dust, pollen, or formed in the atmosphere by transformation of emitted gases.
The particulate matter can adversely affect human health and also have an impact
on climate and precipitation. On the basis of size, the particulate matter is
divided into two categories. The particles up to 10 micrometers in size are
called PM 10 and smaller particles of 2.5 micrometer in size are called PM2.5.
The WHO has measured outdoor air pollution caused by both types of the
particulate matter and according to these findings, air can be contaminated by
a range of different particles of which many can harm our health, especially
very small particles that enter into the lungs and bloodstream and cause the
most serious health problems. In Asia, like in other regions of the world,
pollution caused by particulate matter is spreading to new areas. The graph,
based on the data obtained from the WHO, ranks Asian countries according to the
PM10 level in the air. As the data suggests, Pakistan is the most polluted
country in the region in terms of particulate matter concentration in the air.
It is followed by Bangladesh, India, Nepal, China, Myanmar, Sri Lanka, South
Korea, Indonesia, Philippines, Malaysia, Thailand, Singapore and Japan.
The IARC evaluation found strong scientific evidence of an
increased risk of lung cancer with increasing exposure to air pollution in
general and issued a similar finding for particulate matter. Although the
composition of air pollution and levels of exposure can vary dramatically
between locations worldwide, the IARC conclusions apply to all regions of the
world. The IARC assessment of the link between PM and lung cancer contrasts
with findings from the U.S. Environmental Protection Agency’s (EPA) 2009 assessment
of the PM health science,which
classified the PM-lung cancer scientific evidence as only “suggestive of a
causal relationship.”
Long-term exposure to polluted air can have permanent health
effects:
Accelerated aging of the lungs
Loss of lung capacity
Decreased lung function
Development of diseases such as asthma, bronchitis,
emphysema, and possibly cancer
Shortened life span
According to the study, more than one-third of the Chinese
population regularly breathe air that would be considered “unhealthy” by U.S.
standards.
Their research, published this month in Thorax, shows that
the length of time that lung cancer patients live after diagnosis varies
depending on their exposures to regional pollution. Researchers found that the
median survival for people diagnosed with early stage lung cancers who lived in
areas with high levels of regional pollution was approximately three years
shorter than for people who lived in areas with lower levels of pollution.
Air pollution in some Asian cities is so bad that at times,
the cities are enveloped by a blanket of smog that impedes visibility.
According to the WHO,air pollution has worsened in Asian cities in recent years
and presents a threat to human health. In many cities the levels of fine
particulate matter - a key pollutant in terms of its impact on human health -
are exceeding the critical limit (as defined by the WHO), specifically in
densely populated, fast-growing and less developed countries like China, India,
Pakistan and Bangladesh. Even in small Asian cities like Kathmandu, the
particulate matter level exceeds the most lenient of several targets
recommended by the WHO. Over the last few years, China has been in the news for
heavy pollution in its cities with the skies being completely blanketed by
smog. India and Pakistan, however, have the dubious distinction of having the
most polluted cities in the region. If we take a look at the statistics
concerning capital cities in Asia, the air pollution caused by the particulate
matter is worst in Delhi. It is closely followed by Islamabad, Dhaka, Beijing
and Kathmandu.
The IARC findings have significant implications for U.S. air
pollution control efforts. The EPA sets air quality standards to protect public
health based on assessments of the health effects of individual pollutants
rather than outdoor air pollution in general.Air pollution control rules are then developed for specific sources of
these individual pollutants in order to achieve the health-based standards.
As The New York Times notes, air pollution — particularly
exposure to fine airborne particles — can cause a variety of health problems,
including asthma, lung cancer, heart disease and stroke. The World Health
Organization said last year that 7 million people die annually because of exposure
to polluted air.
“We focused on California, since there are a wide range of
air pollution levels here and one of the largest and longest running air
quality monitoring networks and cancer registry system in the U.S.,” Eckel
said.
Air pollution is one of the main causes of premature deaths
in the world. Of all major global health risks, outdoor air pollution in the
form of fine particles is found to be much more dangerous for public health
than previously known - contributing annually to over 2 million premature
deaths worldwide. The WHO global study ranks air pollution as one of the top 10
killers in the world, with 65 percent of all air pollution deaths occurring in
Asia. In 2010 alone, particulate matter pollution was the fourth-leading risk
factor for deaths in China, behind high blood pressure and smoking. Across the
region, increasing levels of particulate matter are causing higher numbers of
premature deaths. The graph reveals the human toll due to outdoor air pollution
in 2008, which is the latest comparative data available. A record number of
people have died due to air pollution in the region. In the year 2008 alone,
over half-million people have died in China and India. Other countries in the
region have also suffered heavily from air pollution. On top of that, the
future looks very bleak. By 2050, urban air pollution is estimated to cause up
to 3.6 million premature deaths worldwide each year, mostly in China and India.
However, in the real world, we are exposed to a toxic soup of
various different air pollutants and chemical mixtures, which interact and
combined can have a greater health impact than each of the individual
components. This concept was recognized more than 40 years ago and incorporated
by Congress into the Clean Air Act of 1970, which provides the foundation of
today’s air pollution control efforts. In providing instruction to EPA for
developing air pollutant health assessments, Congress expressly required EPA to
consider “the types of air pollutants which, when present in the atmosphere,
may interact with such pollutant to produce an adverse effect on public health
or welfare” (emphasis added).
China has struggled for years to control its air pollution
problems, which are primarily caused by the burning of coal in factories and
power plants, as well as vehicle use.
Eckel and her team of researchers looked at lung cancer data
from over 350,000 patients in the California Cancer Registry who were diagnosed
with lung cancer between 1988-2009. From the extensive and detailed dataset,
the team assigned air pollution exposure levels based on the average exposure
at the patient’s residence at diagnosis.
Given the generally accepted scientific consensus that even
very low levels of exposure to environmental pollution increases the risk of
cancer, the IARC findings suggest that reductions in U.S. air pollution beyond
levels set as “safe” for individual pollutants, especially for particulate
matter and transportation-related pollutants that were the focus of many of the
reviewed studies, would provide additional public health benefits in avoided
lung cancers.
In April, Greenpeace reported that, of 360 cities in China,
less than 10 percent had successfully met national air quality standards in the
first quarter of 2015.
Chemotherapy utilizes strong
chemicals that interfere with the cell division process damagingProteinsor DNA
sothat cancer cells will commit suicide. These treatments target any rapidly
dividing cells (notjust cancer cells), but normal
cells usually can recover from anychemicalinduceddamage while cancercells
cannot. Chemotherapy is considered
systemicbecause its medicines travel throughout the entirebody, killing the
original tumor cells as wellas cancer cells that have spread
throughout the body.
Chemotherapy
for lung cancer
uses drugs that are injected into a vein or swallowed to enter the bloodstream
and killcancerous cells throughout the body.
A medical oncologist will usually prescribechemotherapy drugs for lung cancer to betaken intravenously, but there are also drugsavailable in
tablet, capsule, and liquid form.Chemotherapy treatment occurs in cycles sothe body has time to heal between
doses, anddosages are determined by the type of lungcancer, the type of drug, and how the personresponds to treatment.
Medicines may beadministered daily, weekly, or monthly, and cancontinue for
months or even years.
Chemotherapy is the main lung
cancer treatment for small cell lung
cancer, using a combination of drugs and possiblepaired
with radiation. For nonsmallcell lung cancer, our chemotherapy uses include:
·Before surgery (neoadjuvant) to shrink a
tumor
·After surgery (adjuvant) to kill any
remaining cancer
cells
·As the main treatment (with radiation) for
inoperable cancer or for people who aren’t healthy enough for surgeryor don’t
want to undergo it
·With a targeted therapy to control
laterstagedisease
Chemotherapy carries several common side effects, but they depend on the
type of chemotherapy andthe health of the patient. These include nausea and
vomiting, appetite loss, diarrhea, hair loss, fatiguefrom anemia, infections,
bleeding, and mouth sores. Many of these side effects are only temporarily
feltduring treatment, and several drugs exist to help patients cope with the
symptoms.
CyberKnife for Lung
Cancer
CyberKnife
is an advanced form of external radiation sometimes called radiosurgery, though
it does not involve surgery.It uses imageguidancesystems and a robot arm
rotating around your body to:
·Deliver hundreds of tiny radiation beams at
various angles, with submillimeterprecision
·Track and adjust for tumor motion while you
breathe, minimizing the harm to surrounding areas and delivering ahigher dose
of radiation straight to the cancer
·Reduce the number of lung
cancer treatment sessions
The CyberKnife is the
world’s first and only radiosurgery system designed to pinpoint and destroy
tumors in the body. In many cases, the treatment offers new hope to patients
who were considered untreatable or inoperable, who may be looking for an alternative
to surgery, or who have been previously exposed to the maximum allowable dose
of radiation but still require further treatment.
Twenty-five
of 29 tumors were evaluable for local control, with 27 tumors (93 %) considered
in-field recurrences. In-field crude local control rate was 80 % (20/25) with 1
and 2-year actuarial rates of 78.6 and 65.5 %, respectively. One and 2-year
actuarial survival rates were 52.3 and 37.0 %, respectively. One and 2-year
actuarial progression-free survival rates were 56.7 and 37.0 %, respectively.
Fifty-five percent of patients reported acute/chronic grades 1 and 2
toxicities. No grade 3 or higher toxicities were reported.