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Correspondence
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Volume 340:2002-2004 June 24, 1999 Number 25
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Radiotherapy for Small-Cell Lung Cancer

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 by Turrisi, A. T.
To the Editor: In their study of the treatment of small-cell lung cancer with radiotherapy and concurrent cisplatin and etoposide, Turrisi et al. (Jan. 28 issue)1 concluded, "Twice-daily treatment significantly improved survival as compared with concurrent once-daily radiotherapy." Some readers might take this to mean that twice-daily fractionation was superior to once-daily treatment for such patients. Nothing could be further from the truth. What was demonstrated in this study is that twice-daily treatment at doses that were barely tolerable (grade 3 esophagitis developed in 27 percent of these patients) were slightly more effective than what we know to be inadequate . . . [Full Text of this Article]

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