Comparison of therapeutic results from radiofrequency ablation and stereotactic body radiotherapy in solitary lung tumors measuring 5cm or smaller

Verfasser / Beitragende:
[Satoru Ochiai, Koichiro Yamakado, Hiroshi Kodama, Yoshihito Nomoto, Noriko Ii, Haruyuki Takaki, Hajime Sakuma]
Ort, Verlag, Jahr:
2015
Enthalten in:
International Journal of Clinical Oncology, 20/3(2015-06-01), 499-507
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10147-014-0741-z  |2 doi 
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245 0 0 |a Comparison of therapeutic results from radiofrequency ablation and stereotactic body radiotherapy in solitary lung tumors measuring 5cm or smaller  |h [Elektronische Daten]  |c [Satoru Ochiai, Koichiro Yamakado, Hiroshi Kodama, Yoshihito Nomoto, Noriko Ii, Haruyuki Takaki, Hajime Sakuma] 
520 3 |a Backgrounds: This retrospective study was conducted to compare the clinical outcomes of radiofrequency ablation (RFA) with those of stereotactic body radiotherapy (SBRT) in patients with lung tumors. Methods: Local tumor progression, adverse events, and overall survival were compared in patients who underwent either RFA or SBRT for a single lung tumor measuring 5cm or smaller. This study was approved by the institutional review boards of two institutions. Informed consent was waived. Results: During September 2009 to June 2012, 48 patients [30 males and 18 females, with a mean age±standard deviation (SD) of 75.0±7.5years] underwent RFA at one institution and 47 patients (21 males and 26 females, with a mean age±SD of 77.0±7.5years) underwent SBRT in another. The mean maximum tumor diameter±SD was 2.0±0.8cm (range 0.6−3.9cm) in the RFA group, and 2.1±0.9cm (range 0.8-4.7cm, p=0.539) in the SBRT group. The RFA and SBRT groups showed similar 3-year local tumor progression [9.6%, 95% confidence interval (CI) 3.6-23.9% vs. 7.0%, 95% CI 0.2-20.2%, p=0.746] and overall survival rates (86.4%, 95% CI 69.2-94.3% vs. 79.6%, 95% CI 60.6-90.1%, p=0.738). No factor significantly affected local tumor progression. A maximum tumor size of 2cm was identified as a prognostic factor in both univariate and multivariate analyses. No death was related to treatment procedures. Major complication rates (Grade 3 adverse events) of the RFA (10.4%, 5/48) and SBRT (8.5%, 4/47, p>0.999) groups were similar. Conclusion: For lung tumor patients, lung RFA provided local tumor control and survival that were similar to those achieved using SBRT, with equal safety. 
540 |a Japan Society of Clinical Oncology, 2014 
690 7 |a Lung tumors  |2 nationallicence 
690 7 |a Radiofrequency ablation  |2 nationallicence 
690 7 |a Stereotactic body radiotherapy  |2 nationallicence 
690 7 |a Prognosis  |2 nationallicence 
690 7 |a Complication  |2 nationallicence 
700 1 |a Ochiai  |D Satoru  |u Department of Radiation Oncology, Matsusaka Central Hospital, 102 Kobou Kawaimachi, 515-8566, Matsusaka, Mie, Japan  |4 aut 
700 1 |a Yamakado  |D Koichiro  |u Department of Radiology, Mie University School of Medicine, 2-174 Edobashi, 514-8507, Tsu, Mie, Japan  |4 aut 
700 1 |a Kodama  |D Hiroshi  |u Department of Radiology, Suzuka Central Hospital, 1275-53 Yamanohana Yasuduka-cho, 513-0818, Suzuka, Mie, Japan  |4 aut 
700 1 |a Nomoto  |D Yoshihito  |u Department of Radiology, Mie University School of Medicine, 2-174 Edobashi, 514-8507, Tsu, Mie, Japan  |4 aut 
700 1 |a Ii  |D Noriko  |u Department of Radiology, Mie University School of Medicine, 2-174 Edobashi, 514-8507, Tsu, Mie, Japan  |4 aut 
700 1 |a Takaki  |D Haruyuki  |u Department of Radiology, Mie University School of Medicine, 2-174 Edobashi, 514-8507, Tsu, Mie, Japan  |4 aut 
700 1 |a Sakuma  |D Hajime  |u Department of Radiology, Mie University School of Medicine, 2-174 Edobashi, 514-8507, Tsu, Mie, Japan  |4 aut 
773 0 |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/3(2015-06-01), 499-507  |x 1341-9625  |q 20:3<499  |1 2015  |2 20  |o 10147 
856 4 0 |u https://doi.org/10.1007/s10147-014-0741-z  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ochiai  |D Satoru  |u Department of Radiation Oncology, Matsusaka Central Hospital, 102 Kobou Kawaimachi, 515-8566, Matsusaka, Mie, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yamakado  |D Koichiro  |u Department of Radiology, Mie University School of Medicine, 2-174 Edobashi, 514-8507, Tsu, Mie, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kodama  |D Hiroshi  |u Department of Radiology, Suzuka Central Hospital, 1275-53 Yamanohana Yasuduka-cho, 513-0818, Suzuka, Mie, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nomoto  |D Yoshihito  |u Department of Radiology, Mie University School of Medicine, 2-174 Edobashi, 514-8507, Tsu, Mie, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ii  |D Noriko  |u Department of Radiology, Mie University School of Medicine, 2-174 Edobashi, 514-8507, Tsu, Mie, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Takaki  |D Haruyuki  |u Department of Radiology, Mie University School of Medicine, 2-174 Edobashi, 514-8507, Tsu, Mie, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sakuma  |D Hajime  |u Department of Radiology, Mie University School of Medicine, 2-174 Edobashi, 514-8507, Tsu, Mie, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/3(2015-06-01), 499-507  |x 1341-9625  |q 20:3<499  |1 2015  |2 20  |o 10147