Stereotactic Radiotherapy as Good as Surgery for Older Patients with Early Lung Cancer

In this study, researchers compared two treatments for early lung cancer in elderly patients: surgery and stereotactic radiation. Surgery has been the standard treatment for decades, but some oncologists now believe that stereotactic radiation may be as good and are evaluating it in trials around the world. Stereotactic radiation therapy, sometimes called radiosurgery, refers to a single or several targeted radiation therapy treatments.

For this trial, researchers looked back at elderly patients with early lung cancer treated in northern Holland between 2005 and 2007. They discovered that there were no differences in the long-term survival for patients treated with either treatment but that surgery had a higher risk of death in the first 30 days.

"Many would expect that the patients treated with radiotherapy would do worse than those undergoing surgery,” David Palma, MD, lead author of the study and a Canadian radiation oncologist who performed the work while on a research fellowship at VU University Medical Center (Amsterdam, Netherlands), said. "At the time that these patients underwent treatment, patients only received radiation if they were too unwell for surgery or if they refused surgery. Because most radiotherapy patients had medical problems that prevented them from having surgery, we would expect them not to live as long as the surgery patients. Yet, despite this disadvantage, the radiotherapy patients lived just as long. This shows us that the stereotactic treatment is effective even in patients who have many medical problems. I would encourage patients with early lung cancer to talk to their oncologists to learn about all their treatment options, including radiation therapy.”

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