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Pulmonary Medicine
Volume 2012, Article ID 369820, 5 pages
http://dx.doi.org/10.1155/2012/369820
Clinical Study

Clinical Outcomes of Stereotactic Body Radiotherapy for Patients with Lung Tumors in the State of Oligo-Recurrence

Department of Radiology, Hokkaido University Graduate School of Medicine, North 15 West 7, Kita-ku, Sapporo 060-8638, Japan

Received 25 April 2012; Accepted 23 May 2012

Academic Editor: Yuzuru Niibe

Copyright © 2012 Tetsuya Inoue et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We retrospectively evaluated the clinical outcomes of patients with oligometastatic lung tumors who underwent stereotactic body radiotherapy (SBRT). Twenty-two patients with one or two oligometastatic lung tumors were treated with SBRT at our institution between 1999 and 2009. With a median follow-up period of 25 months from the date of SBRT to the detection of oligometastatic lung tumors, the patients' 3- and 5-year overall survival (OS) and progression-free survival (PFS) rates were 72% and 54%, respectively. The median disease-free interval (DFI) between the treatment of the primary site and SBRT to oligometastatic lung tumors was 41 months. The OS of patients with a DFI ≥ 36 months was significantly longer than that of the patients with a DFI < 36 months by the log-rank test ( 𝑃 = 0 . 0 2 ). For patients with a DFI ≥ 36 months, the 3- and 5-year OS rates were both 88%, compared to 50% for the patients with a DFI < 36 months. The primary tumor of all patients was locally controlled when SBRT to oligometastatic lung tumors was performed, and thus they were in the state of “oligo-recurrence.” Patients with oligometastatic lung lesions treated by SBRT had good prognoses. This was especially true of the patients with a long DFI and in the state of “oligo-recurrence.”