Abstract:
Objective To evaluate the clinical effects and adverse reactions of whole body gamma knife combined with pemetrexed plus carboplatin on concurrent chemoradiotherapy for locally advanced non-small cell lung cancer(LANSCLC). Methods Total 42 cases of LANSCLC patient were selected.They included ⅢA stage NSCLC(18 cases) and ⅢB stage NSCLC(24 cases);adenocarcinoma (26 cases) and squamous carcinoma (16 cases).All of the patients underwent whole body gamma knife combined with pemetrexed plus carboplatin in concurrent chemoradiotherapy (pemetrexed 500 mg/m2 and carboplatin AUC=5 were administrated to the patients on the first day of every three-weeks for four cycles.) Clinical efforts and adverse reactions were evaluated. Results The response rate (CR+PR) was 85.7%,The 1-,2-year survival rates and the median survival periods were 76.2%,45.2%,18.6 months,respectively;All the adverse reactions were between gradeⅠ~Ⅲ,which were mainly bone marrow suppression,gastrointestinal reactions and radiation esophagitis.No grade Ⅳ adverse reaction had been occurred.Leukopenia was occurred in 5 cases (11.9%) of grade Ⅲ. Conclusion Whole body gamma knife combined with pemetrexed plus carboplatin in concurrent chemoradiotherapy has a relatively good short and remote effectiveness,with good safety and tolerability.