Proton Beam Therapy Combined with Concurrent Chemotherapy for Esophageal Cancer

被引:2
作者
Ishikawa, Hitoshi [1 ]
Hashimoto, Takayuki [1 ]
Moriwaki, Toshikazu [2 ]
Hyodo, Ichinosuke [2 ]
Hisakura, Katsuji [3 ]
Terashima, Hideo [3 ]
Ohkohchi, Nobuhiro [3 ]
Ohno, Toshiki [1 ]
Makishima, Hirokazu [1 ]
Mizumoto, Masashi [1 ]
Ohnishi, Kayoko [1 ]
Okumura, Toshiyuki [1 ]
Sakurai, Hideyuki [1 ]
机构
[1] Univ Tsukuba, Fac Med, Dept Radiat Oncol, Tsukuba, Ibaraki 3058575, Japan
[2] Univ Tsukuba, Fac Med, Dept Gastroenterol, Tsukuba, Ibaraki 3058575, Japan
[3] Univ Tsukuba, Fac Med, Dept Gastroenterol & Hepatobiliary Surg, Tsukuba, Ibaraki 3058575, Japan
关键词
Proton beam therapy; esophageal cancer; concurrent chemoradiotherapy; survival; late toxicity; SQUAMOUS-CELL CARCINOMA; TERM-FOLLOW-UP; RADIATION-THERAPY; DEFINITIVE CHEMORADIOTHERAPY; PHASE-II; CHEMORADIATION; TRIAL; IRRADIATION; EFFUSION; SURGERY;
D O I
暂无
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background/Aim: The aim of the present study was to evaluate the outcomes of proton beam therapy (PBT) concurrently combined with chemotherapy consisting of cisplatin and 5-fluorouracil for esophageal cancer. Patients and Methods: Forty consecutive patients (stage I in 16 patients, II in 9 and III in 15) treated between 2008 and 2012 were evaluated. A total dose of 60 Gray equivalents (GyE) in 30 fractions was delivered, and an additional boost of 4-10 GyE was given when residual tumors were suspected. The median follow-up time was 24 months (range=7-66 months). Results: No cardio-pulmonary toxicities of grade 3 or higher were observed. Recurrences were observed in 16 patients, and the 2-year rates of disease-specific survival and locoregional control were 77% and 66%, respectively. Conclusion: Irrespective of the small sample size and short follow-up time of the study, proton beam therapy combined with chemotherapy seems to be feasible for esophageal cancer.
引用
收藏
页码:1757 / 1762
页数:6
相关论文
共 25 条
  • [1] [Anonymous], 2010, Common terminology criteria for adverse events, v4.03
  • [2] Chemoradiotherapy of locally advanced esophageal cancer - Long-term follow-up of a prospective randomized trial (RTOG 85-01)
    Cooper, JS
    Guo, MD
    Herskovic, A
    Macdonald, JS
    Martenson, JA
    Al-Sarraf, M
    Byhardt, R
    Russell, AH
    Beitler, JJ
    Spencer, S
    Asbell, SO
    Graham, MV
    Leichman, LL
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 281 (17): : 1623 - 1627
  • [3] Outcomes of induction chemotherapy followed by chemoradiation using intensity-modulated radiation therapy for esophageal adenocarcinoma
    Gerber, N.
    Ilson, D. H.
    Wu, A. J.
    Janjigian, Y. Y.
    Kelsen, D. P.
    Zheng, J.
    Zhang, Z.
    Bains, M. S.
    Rizk, N.
    Rusch, V. W.
    Goodman, K. A.
    [J]. DISEASES OF THE ESOPHAGUS, 2014, 27 (03) : 235 - 241
  • [4] Gospodarowicz MKWC, 2010, TNM CLASSIFICATION M, P66
  • [5] Nonrandomized comparison between definitive chemoradiotherapy and radical surgery in patients with T2-3Nany M0 squamous cell carcinoma of the esophagus
    Hironaka, S
    Ohtsu, A
    Boku, N
    Muto, M
    Nagashima, F
    Saito, H
    Yoshida, S
    Nishimura, M
    Haruno, M
    Ishikura, S
    Ogino, T
    Yamamoto, S
    Ochiai, A
    [J]. INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2003, 57 (02): : 425 - 433
  • [6] Radiation therapy alone for stage I (UICC T1N0M0) squamous cell carcinoma of the esophagus: Indications for surgery or combined chemoradiotherapy
    Ishikawa, Hitoshi
    Sakurai, Hideyuki
    Tamaki, Yoshio
    Nonaka, Tetsuo
    Yamakawa, Michitaka
    Saito, Yoshihiro
    Kitamoto, Yoshizumi
    Higuchi, Keiko
    Hasegawa, Masatoshi
    Nakano, Takashi
    [J]. JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, 2006, 21 (08) : 1290 - 1296
  • [7] USEFULNESS OF INTRALUMINAL BRACHYTHERAPY COMBINED WITH EXTERNAL BEAM RADIATION THERAPY FOR SUBMUCOSAL ESOPHAGEAL CANCER: LONG-TERM FOLLOW-UP RESULTS
    Ishikawa, Hitoshi
    Nonaka, Tetsuo
    Sakurai, Hideyuki
    Tamaki, Yoshio
    Kitamoto, Yoshizumi
    Ebara, Takeshi
    Shioya, Mariko
    Noda, Shin-Ei
    Shirai, Katsuyuki
    Suzuki, Yoshiyuki
    Takahashi, Takeo
    Nakano, Takashi
    [J]. INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2010, 76 (02): : 452 - 459
  • [8] Long-term toxicity after definitive chemoradiotherapy for squamous cell carcinoma of the thoracic esophagus
    Ishikura, S
    Nihei, K
    Ohtsu, A
    Boku, N
    Hironaka, S
    Mera, K
    Muto, M
    Ogino, TG
    Yoshida, S
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 2003, 21 (14) : 2697 - 2702
  • [9] NONPARAMETRIC-ESTIMATION FROM INCOMPLETE OBSERVATIONS
    KAPLAN, EL
    MEIER, P
    [J]. JOURNAL OF THE AMERICAN STATISTICAL ASSOCIATION, 1958, 53 (282) : 457 - 481
  • [10] PHASE II STUDY OF CHEMORADIOTHERAPY WITH 5-FLUOROURACIL AND CISPLATIN FOR STAGE II-III ESOPHAGEAL SQUAMOUS CELL CARCINOMA: JCOG TRIAL (JCOG 9906)
    Kato, Ken
    Muro, Kei
    Minashi, Keiko
    Ohtsu, Atsushi
    Ishikura, Satoshi
    Boku, Narikazu
    Takiuchi, Hiroya
    Komatsu, Yoshito
    Miyata, Yoshinori
    Fukuda, Haruhiko
    [J]. INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2011, 81 (03): : 684 - 690