CT-guided 125I brachytherapy for recurrent ovarian cancer

被引:6
作者
Liu, Ping [1 ]
Tong, Lina [1 ]
Huo, Bin [2 ]
Dai, Dong [3 ]
Liu, Wenxin [4 ]
Wang, Ke [4 ]
Wang, Ying [1 ]
Guo, Zhi [1 ]
Ni, Hong [1 ]
机构
[1] Tianjin Med Univ Canc Inst & Hosp, Dept Intervent Therapy, Natl Clin Res Ctr Canc, Key Lab Canc Prevent & Therapy, Tianjin, Peoples R China
[2] Tianjin Med Univ, Hosp 2, Dept Oncol, Tianjin, Peoples R China
[3] Tianjin Med Univ Canc Inst & Hosp, Dept Mol Imaging & Nucl Med, Tianjin, Peoples R China
[4] Tianjin Med Univ Canc Inst & Hosp, Dept Gynecol Oncol, Tianjin, Peoples R China
关键词
I-125; seeds; brachytherapy; recurrent ovarian cancer; BEAM RADIATION-THERAPY; INTERSTITIAL BRACHYTHERAPY; CYTOREDUCTIVE SURGERY; CARCINOMA; RECOMMENDATIONS; MALIGNANCIES; RADIOTHERAPY; MANAGEMENT; DOSIMETRY; TOXICITY;
D O I
10.18632/oncotarget.15905
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
This retrospective study was to evaluate the local control and survival of I-125 brachytherapy for recurrent ovarian cancer. 52 I-125 brachytherapy procedures were performed in 47 patients with 51 recurrent ovarian cancer lesions. The follow-up period was 1-55 months (median 12 months). The local control rate (LC) of 3, 6, 12, 24 and 36 months was 93.3%, 77.7%, 58.9%, 38.7% and 19.3%, respectively. Patients with tumor size = 4cm (85.7% vs 40.0%, P = 0.037) and actual D90 between 110 to 130Gy (47.4% vs 66.7% vs 62.5%, P = 0.029) had better LC. The 1, 2 and 3 years of overall survival (OS) was 79.3%, 63.0% and 52.5%, respectively. The poor performance status (HR 3.821, 95% CI 1.383-10.555; P = 0.010), concurrent distant metastasis (HR 9.222, 95% CI 1.710-49.737; P = 0.010) and large postoperative residual tumor size (HR 6.157, 95% CI 1.438-26.367; P = 0.014) were closely correlated with a poor OS. Our data indicate that CT-guided I-125 brachytherapy is an effective and safe modality for the local treatment of recurrent ovarian cancer.
引用
收藏
页码:59766 / 59776
页数:11
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