Late toxicity of proton beam therapy for patients with the nasal cavity, para-nasal sinuses, or involving the skull base malignancy: importance of long-term follow-up

Verfasser / Beitragende:
[Sadamoto Zenda, Mitsuhiko Kawashima, Satoko Arahira, Ryosuke Kohno, Teiji Nishio, Makoto Tahara, Ryuichi Hayashi, Tetsuo Akimoto]
Ort, Verlag, Jahr:
2015
Enthalten in:
International Journal of Clinical Oncology, 20/3(2015-06-01), 447-454
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10147-014-0737-8  |2 doi 
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245 0 0 |a Late toxicity of proton beam therapy for patients with the nasal cavity, para-nasal sinuses, or involving the skull base malignancy: importance of long-term follow-up  |h [Elektronische Daten]  |c [Sadamoto Zenda, Mitsuhiko Kawashima, Satoko Arahira, Ryosuke Kohno, Teiji Nishio, Makoto Tahara, Ryuichi Hayashi, Tetsuo Akimoto] 
520 3 |a Background: Although several reports have shown that proton beam therapy (PBT) offers promise for patients with skull base cancer, little is known about the frequency of late toxicity in clinical practice when PBT is used for these patients. Here, we conducted a retrospective analysis to clarify the late toxicity profile of PBT in patients with malignancies of the nasal cavity, para-nasal sinuses, or involving the skull base. Methods: Entry to this retrospective study was restricted to patients with (1) malignant tumors of the nasal cavity, para-nasal sinuses, or involving the skull base; (2) definitive or postoperative PBT (>50GyE) from January 1999 through December 2008; and (3) more than 1year of follow-up. Late toxicities were graded according to the common terminology criteria for adverse events v4.0 (CTCAE v4.0). Results: From January 1999 through December 2008, 90 patients satisfied all criteria. Median observation period was 57.5months (range, 12.4-162.7 months), median time to onset of grade 2 or greater late toxicity except cataract was 39.2months (range, 2.7-99.8 months), and 3 patients had toxicities that occurred more than 5years after PBT. Grade 3 late toxicities occurred in 17 patients (19%), with 19 events, and grade 4 late toxicities in 6 patients (7%), with 6 events (encephalomyelitis infection 2, optic nerve disorder 4). Conclusions: In conclusion, the late toxicity profile of PBT in patients with malignancy involving the nasal cavity, para-nasal sinuses, or skull base malignancy was partly clarified. Because late toxicity can still occur at 5years after treatment, long-term follow-up is necessary. 
540 |a Japan Society of Clinical Oncology, 2014 
690 7 |a Proton beam therapy  |2 nationallicence 
690 7 |a Late toxicity  |2 nationallicence 
690 7 |a Follow-up  |2 nationallicence 
690 7 |a Head and neck cancer  |2 nationallicence 
700 1 |a Zenda  |D Sadamoto  |u Division of Radiation Oncology, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, 277-8577, Kashiwa, Chiba, Japan  |4 aut 
700 1 |a Kawashima  |D Mitsuhiko  |u Division of Radiation Oncology, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, 277-8577, Kashiwa, Chiba, Japan  |4 aut 
700 1 |a Arahira  |D Satoko  |u Division of Radiation Oncology, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, 277-8577, Kashiwa, Chiba, Japan  |4 aut 
700 1 |a Kohno  |D Ryosuke  |u Division of Radiation Oncology, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, 277-8577, Kashiwa, Chiba, Japan  |4 aut 
700 1 |a Nishio  |D Teiji  |u Division of Radiation Oncology, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, 277-8577, Kashiwa, Chiba, Japan  |4 aut 
700 1 |a Tahara  |D Makoto  |u Division of Head and Neck Medical Oncology, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, 277-8577, Kashiwa, Chiba, Japan  |4 aut 
700 1 |a Hayashi  |D Ryuichi  |u Division of Head and Neck Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, 277-8577, Kashiwa, Chiba, Japan  |4 aut 
700 1 |a Akimoto  |D Tetsuo  |u Division of Radiation Oncology, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, 277-8577, Kashiwa, Chiba, Japan  |4 aut 
773 0 |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/3(2015-06-01), 447-454  |x 1341-9625  |q 20:3<447  |1 2015  |2 20  |o 10147 
856 4 0 |u https://doi.org/10.1007/s10147-014-0737-8  |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 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zenda  |D Sadamoto  |u Division of Radiation Oncology, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, 277-8577, Kashiwa, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kawashima  |D Mitsuhiko  |u Division of Radiation Oncology, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, 277-8577, Kashiwa, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Arahira  |D Satoko  |u Division of Radiation Oncology, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, 277-8577, Kashiwa, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kohno  |D Ryosuke  |u Division of Radiation Oncology, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, 277-8577, Kashiwa, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nishio  |D Teiji  |u Division of Radiation Oncology, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, 277-8577, Kashiwa, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Tahara  |D Makoto  |u Division of Head and Neck Medical Oncology, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, 277-8577, Kashiwa, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hayashi  |D Ryuichi  |u Division of Head and Neck Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, 277-8577, Kashiwa, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Akimoto  |D Tetsuo  |u Division of Radiation Oncology, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, 277-8577, Kashiwa, Chiba, 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), 447-454  |x 1341-9625  |q 20:3<447  |1 2015  |2 20  |o 10147