THE RESULT OF SURGERY AND ADJUVANT PLATINUM DOUBLET CHEMOTHERAPY FOR STAGE IB-IIIA NON-SMALL-CELL LUNG CANCER

Nguyễn Thị Thúy Hằng1,, Nguyễn Thị Thái Hòa1, Trần Đình Anh2, Đào Thị Thanh Nhàn1
1 Vietnam National Cancer Hospital
2 Hanoi Medical University Hospital

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Abstract

Objectives: Assess clinical, subclinical characteristics of stage IB-IIIA non-small-cell lung cancer patients. Evaluating the result of adjuvant chemotherapy vinorelbine/ pemetrexed plus cisplatin in completed resected NSCLC IB-IIIA. Patients and Methods: Descriptive study of 60 patients with stage IB-IIIA resesected non-small-cell lung cancer were received adjuvant vinorelbine/ pemetrexed plus cisplatin chemotherapy from K hospital, 01/2019 to 9/2022. Results: Clinical characteristics: The mean age of 59,52 years old, ratio male : female= 2,7 :1. 21 (35,0%) patients had stage IB disease, 32 (53,3%)  had stage II, and 7 (11,7%) had stage IIIA disease. The major histological type was adenocarcinoma (76,7%). Treating with vinorelbin-cisplatin was 50% and 50% pemetrexed-cisplatin. Treatment results: Mean of disease free survival was 30,5 ± 1,67 months. DFS of vinorelbin-cisplatin or pemetrexed-cisplatin was no different. Vinorelbin-cisplatin caused hematologic toxic effects including neutropenia in 60%. The most commmon nonhematologic toxic effect of those regimens were nausea, vomiting (50,0%). Pemetrexed-cisplatin caused hematologic toxic effects including neutropenia in 60%. The most commmon nonhematologic toxic effect of those regimens were nausea, vomiting 45%.

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References

1. GS.TS Trần Văn Thuấn Ung thư phổi không tế bào nhỏ. Hướng dẫn chẩn đoán và điều trị bệnh ung thư thường gặp. Nhà xuất bản Y học, Hà Nội, 92–105.
2. Hiro Ken et al, (2019), Randomized phase III study of pemetrexed/cisplatin (Pem/Cis) versus vinorelbine /cisplatin (Vnr/Cis) for completely resected stage II-IIIA non-squamous non-small-cell lung cancer (Ns-NSCLC): The JIPANG study, ASCO 2019.
3. Pepe C., Hasan B., Winton T.L. và cộng sự. (2007). Adjuvant vinorelbine and cisplatin in elderly patients: National Cancer Institute of Canada and Intergroup Study JBR. 10. J Clin Oncol, 25(12), 1553–1561.
4. Douillard J.-Y., Tribodet H., Aubert D. và cộng sự. (2010). Adjuvant cisplatin and vinorelbine for completely resected non-small cell lung cancer: subgroup analysis of the Lung Adjuvant Cisplatin Evaluation. J Thorac Oncol, 5(2), 220–228.