Long-term results of definitive concurrent chemoradiotherapy for patients with esophageal submucosal cancer (T1bN0M0)

Verfasser / Beitragende:
[Yuji Murakami, Ippei Takahashi, Ikuno Nishibuchi, Yoshiko Doi, Tomoyuki Okabe, Masahiro Kenjo, Tomoki Kimura, Yasushi Nagata]
Ort, Verlag, Jahr:
2015
Enthalten in:
International Journal of Clinical Oncology, 20/5(2015-10-01), 897-904
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10147-015-0819-2  |2 doi 
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245 0 0 |a Long-term results of definitive concurrent chemoradiotherapy for patients with esophageal submucosal cancer (T1bN0M0)  |h [Elektronische Daten]  |c [Yuji Murakami, Ippei Takahashi, Ikuno Nishibuchi, Yoshiko Doi, Tomoyuki Okabe, Masahiro Kenjo, Tomoki Kimura, Yasushi Nagata] 
520 3 |a Background: The long-term outcomes of definitive concurrent chemoradiotherapy for patients with esophageal submucosal cancer without regional and distant metastasis were retrospectively analyzed. Methods: Patients with histologically confirmed esophageal submucosal cancers without regional and distant metastasis who received definitive concurrent chemoradiotherapy from 2001 to 2011 were included. Radiation therapy of a median total dose of 60Gy/30 fractions (range, 54-66Gy) with elective nodal irradiation of 40Gy was combined concurrently with 5-furuorouracil-based chemotherapy. Results: Thirty-six patients (33 men and 3 women) aged from 45 to 80years (median, 67 years) were assessed. All patients had squamous cell carcinoma. With a median follow-up time of 61months, the 5-year overall survival, disease-free survival, and locoregional failure-free survival rates were 86% [95% confidence interval (CI), 74-99%], 59% (95% CI, 42-77%), and 90% (95% CI, 79-100%), respectively. Late toxicities of grade 3 pleural effusion in 2 patients, grade 4 pericardial effusion in 1 patient, and grade 5 pneumonitis in 1 patient were observed. Metachronous esophageal cancer was observed in 8 patients (22%). Among them, 6 patients with mucosal legions were salvaged by endoscopic resection. Conclusion: Our long-term results of concurrent chemoradiotherapy (CCRT) for patients with esophageal submucosal cancer showed acceptable toxicities and favorable locoregional control and survivals while maintaining organ preservation. 
540 |a Japan Society of Clinical Oncology, 2015 
690 7 |a Esophageal cancer  |2 nationallicence 
690 7 |a Submucosal cancer  |2 nationallicence 
690 7 |a Chemoradiotherapy  |2 nationallicence 
700 1 |a Murakami  |D Yuji  |u Department of Radiation Oncology, Hiroshima University Graduate School of Biomedical Sciences, 1-2-3 Kasumi, Minami-ku, 734-8551, Hiroshima, Japan  |4 aut 
700 1 |a Takahashi  |D Ippei  |u Department of Radiation Oncology, Hiroshima Red Cross Hospital and Atomic-Bomb Survivors Hospital, 1-9-6 Senda-machi, Naka-ku, 730-8619, Hiroshima, Japan  |4 aut 
700 1 |a Nishibuchi  |D Ikuno  |u Department of Radiation Oncology, Hiroshima Prefectural Hospital, Ujinakanda Minami-ku, 734-8530, Hiroshima, Japan  |4 aut 
700 1 |a Doi  |D Yoshiko  |u Department of Radiation Oncology, Hiroshima University Graduate School of Biomedical Sciences, 1-2-3 Kasumi, Minami-ku, 734-8551, Hiroshima, Japan  |4 aut 
700 1 |a Okabe  |D Tomoyuki  |u Department of Radiation Oncology, Hiroshima University Graduate School of Biomedical Sciences, 1-2-3 Kasumi, Minami-ku, 734-8551, Hiroshima, Japan  |4 aut 
700 1 |a Kenjo  |D Masahiro  |u Department of Radiation Oncology, Hiroshima University Graduate School of Biomedical Sciences, 1-2-3 Kasumi, Minami-ku, 734-8551, Hiroshima, Japan  |4 aut 
700 1 |a Kimura  |D Tomoki  |u Department of Radiation Oncology, Hiroshima University Graduate School of Biomedical Sciences, 1-2-3 Kasumi, Minami-ku, 734-8551, Hiroshima, Japan  |4 aut 
700 1 |a Nagata  |D Yasushi  |u Department of Radiation Oncology, Hiroshima University Graduate School of Biomedical Sciences, 1-2-3 Kasumi, Minami-ku, 734-8551, Hiroshima, Japan  |4 aut 
773 0 |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/5(2015-10-01), 897-904  |x 1341-9625  |q 20:5<897  |1 2015  |2 20  |o 10147 
856 4 0 |u https://doi.org/10.1007/s10147-015-0819-2  |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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949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Murakami  |D Yuji  |u Department of Radiation Oncology, Hiroshima University Graduate School of Biomedical Sciences, 1-2-3 Kasumi, Minami-ku, 734-8551, Hiroshima, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Takahashi  |D Ippei  |u Department of Radiation Oncology, Hiroshima Red Cross Hospital and Atomic-Bomb Survivors Hospital, 1-9-6 Senda-machi, Naka-ku, 730-8619, Hiroshima, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nishibuchi  |D Ikuno  |u Department of Radiation Oncology, Hiroshima Prefectural Hospital, Ujinakanda Minami-ku, 734-8530, Hiroshima, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Doi  |D Yoshiko  |u Department of Radiation Oncology, Hiroshima University Graduate School of Biomedical Sciences, 1-2-3 Kasumi, Minami-ku, 734-8551, Hiroshima, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Okabe  |D Tomoyuki  |u Department of Radiation Oncology, Hiroshima University Graduate School of Biomedical Sciences, 1-2-3 Kasumi, Minami-ku, 734-8551, Hiroshima, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kenjo  |D Masahiro  |u Department of Radiation Oncology, Hiroshima University Graduate School of Biomedical Sciences, 1-2-3 Kasumi, Minami-ku, 734-8551, Hiroshima, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kimura  |D Tomoki  |u Department of Radiation Oncology, Hiroshima University Graduate School of Biomedical Sciences, 1-2-3 Kasumi, Minami-ku, 734-8551, Hiroshima, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nagata  |D Yasushi  |u Department of Radiation Oncology, Hiroshima University Graduate School of Biomedical Sciences, 1-2-3 Kasumi, Minami-ku, 734-8551, Hiroshima, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/5(2015-10-01), 897-904  |x 1341-9625  |q 20:5<897  |1 2015  |2 20  |o 10147