world cancer report - iarc
world cancer report - iarc
world cancer report - iarc
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is frequent and survival rates are poor<br />
(two-year survival of 20-30% for limited<br />
stage disease) although limited stage<br />
small cell <strong>cancer</strong> has a cure rate of about<br />
10-15%. Treatment should be considered<br />
since good symptom control can be<br />
attained. Prophylactic cranial irradiation<br />
may reduce the risk of brain metastases,<br />
and has recently been shown in metaanalysis<br />
to prolong survival in limited<br />
small cell <strong>cancer</strong>.<br />
Although survival for stage I <strong>cancer</strong>s may<br />
reach about 65%, overall survival from lung<br />
<strong>cancer</strong> is poor (Fig. 5.10). In population-<br />
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based series from high-income countries,<br />
the five-year relative survival barely<br />
exceeds 10%. However, survival is better<br />
among patients aged less than 55 at diagnosis<br />
(five-year relative survival in the<br />
order of 15%). There is evidence of a very<br />
modest improvement in survival during the<br />
last 20 years. In developing countries, survival<br />
rates are comparable to those in<br />
industrialized countries.<br />
In the light of poor survival rates, prevention<br />
of lung <strong>cancer</strong> is a priority. However,<br />
the development of novel therapies<br />
remains important in view of the fact that<br />
Cancer Research Fund/American Institute of Cancer<br />
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most patients will die of disease progression<br />
and current treatments can be highly<br />
toxic. Trials of vaccination against tumour<br />
specific antigens such as carcinoembryonic<br />
antigen (CEA) and Fuc-GM1 are<br />
underway [18]. A further strategy under<br />
investigation is that of vaccination with<br />
tumour cells designed to have enhanced<br />
immunogenicity due to the expression of,<br />
for example, cytokine granulocytemacrophage<br />
colony-stimulating factor<br />
(GM-CSF).<br />
WEBSITE<br />
NCI Lung Cancer Homepage:<br />
http://www.<strong>cancer</strong>.gov/<strong>cancer</strong>_information/<strong>cancer</strong>_type/<br />
lung/<br />
Lung <strong>cancer</strong><br />
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