Affiliation:
1. Department of Oncology Taipei Veterans General Hospital Taipei Taiwan
2. School of Medicine National Yang‐Ming Chiao‐Tung University Taipei Taiwan
3. Department of Biomedical Imaging and Radiological Sciences National Yang‐Ming Chiao‐Tung University Taipei Taiwan
4. Institute of Traditional Medicine National Yang‐Ming Chiao‐Tung University Taipei Taiwan
5. Department of Radiation Oncology Taipei Municipal Wan‐Fang Hospital Taipei Taiwan
6. Department of Chest Medicine Taipei Veterans General Hospital Taipei Taiwan
7. Taipei Cancer Center and Taipei Medical University Hospital Taipei Medical University Taipei Taiwan
8. Department of Surgery Taipei Veterans General Hospital Taipei Taiwan
9. Institute of Emergency and Critical Care Medicine National Yang‐Ming Chiao‐Tung University Hsinchu Taiwan
Abstract
AbstractBackgroundStereotactic ablative radiotherapy (SABR) is now the standard of care for patients with inoperable early‐stage lung cancer. Many of these patients are elderly. EGFR (epidermal growth factor receptor) mutation is also common in the Asian population.MethodsTo evaluate the effects of old age and EGFR mutation on treatment outcomes and toxicity, we reviewed the medical records of 71 consecutive patients with inoperable early‐stage non‐small cell lung cancer (NSCLC) who received SABR at Taipei Veterans General Hospital between 2015 and 2021.ResultsThe study revealed that median age, follow‐up, Charlson comorbidity index, and ECOG score were 80 years, 2.48 years, 3, and 1, respectively. Of these patients, 37 (52.1%) were 80 years or older, and 50 (70.4%) and 21 (29.6%) had T1 and T2 diseases, respectively. EGFR mutation status was available for 33 (46.5%) patients, of whom 16 (51.5%) had a mutation. The overall survival rates at 1, 3, and 5 years were 97.2, 74.9, and 58.3%, respectively. The local control rate at 1, 3, and 5 years was 97.1, 92.5, and 92.5%, respectively. Using Cox proportional hazards regression we found that male sex was a risk factor for overall survival (p = 0.036, 95% CI: 1.118–26.188). Two patients had grade 2 pneumonitis, but no other grade 2 or higher toxicity was observed. We did not find any significant differences in treatment outcomes or toxicity between patients aged 80 or older and those with EGFR mutations in this cohort.ConclusionThese findings indicate that age and EGFR mutation status do not significantly affect the effectiveness or toxicity of SABR for patients with inoperable early‐stage NSCLC.
Subject
Pulmonary and Respiratory Medicine,Oncology,General Medicine