根治性切除A期-N2非小细胞肺癌的术后放疗,中国医学科学院肿瘤医院王绿化,根治性切除NSCLC的失败模式,ClinicalCancerResearchVol.11,5004s-5010s,July1,2019,PORT的必要性,PORT:降低局部区域失败率提高生存率?,2019PORT荟萃分析结果,死亡风险增加21%2年OS下降755%-48%pN0pN1有害pN2降低局部复发对OS提高不显著,PORTMeta-analysisLancet,2019.352:257-63UpdateofPORTLungCancer,2019.47:81-3,NSCLCPORT模式的改变,美国:98年以前54-60%98年以后3Cyclesofchemotherapy,P=0.035,CONCLUSION,AscomparedwithPOCTalone,POCRTimprovessurvivalinpatientswithcompletelyresectedStageIIIN2nodaldiseaseinNSCLC.,InPress:B.ZouInt.J.RadiationOncology