Clinical Correlations between Treatment with Anticoagulants/Antiaggregants and Late Rectal Toxicity after Radiotherapy for Prostate Cancer

被引:1
作者
Takeda, Ken [1 ]
Ogawa, Yoshihiro [1 ]
Ariga, Hisanori [1 ]
Koto, Masashi [1 ]
Sakayauchi, Toru [1 ]
Fujimoto, Keisuke [1 ]
Narazaki, Kakutaro [1 ]
Mitsuya, Masatoshi [1 ]
Takai, Yoshihiro [2 ]
Yamada, Shogo [1 ]
机构
[1] Tohoku Univ, Sch Med, Dept Radiat Oncol, Aoba Ku, Sendaishi 9808574, Japan
[2] Tohoku Univ, Sch Med, Dept Radiol Sci, Aoba Ku, Sendaishi 9808574, Japan
关键词
Prostate cancer; radiotherapy; late toxicity; rectal toxicity; EXTERNAL-BEAM IRRADIATION; TERM TREATMENT SEQUELAE; CONFORMAL RADIOTHERAPY; ADENOCARCINOMA; MULTICENTER; PREDICTORS; CARCINOMA; 3D-CRT; RTOG;
D O I
暂无
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Aim: To assess variables related to grade 2 or higher late rectal toxicity (LRT) in prostate cancer treated with external radiotherapy. Patients and Methods: A retrospective analysis was carried out of 232 patients with T1-T3 prostate cancer treated with 3-dimensional conformal radiotherapy (3DCRT) (106 patients) or intensity modulated radiotherapy (IMRT) (126 patients) between June 2000 and May 2007. One hundred and seventy-seven patients received androgen deprivation therapy (ADT);fifty patients used anticoagulants/antiaggregants for vascular disease. Results: The median follow-up was 31 months (range, 6-79). At 5 years, the cumulative incidence of grade 2 or 3 LRT was 5.6%. On multivariate analysis, medication with anticoagulants/antiaggregants was correlated with grade 2 or 3 LRT (p=0.027), whereas age, National Comprehensive Cancer Network risk group classification, use of ADT, radiotherapy technique (3DCRT vs. IMRT) and total irradiated dose were not. Conclusion: Treatment with anticoagulants/antiaggregants appears to be a factor in grade 2 or 3 LRT.
引用
收藏
页码:1831 / 1834
页数:4
相关论文
共 50 条
[31]   Nomogram to predict rectal toxicity following prostate cancer radiotherapy [J].
Delobel, Jean-Bernard ;
Gnep, Khemara ;
David Ospina, Juan ;
Beckendorf, Veronique ;
Chira, Ciprian ;
Zhu, Jian ;
Bossi, Alberto ;
Messai, Taha ;
Acosta, Oscar ;
Castelli, Joel ;
de Crevoisier, Renaud .
PLOS ONE, 2017, 12 (06)
[32]   Acute and Late Rectal Toxicity Following Hypofractionated Radiotherapy in Patients With Prostate Cancer: Results of a Prospective Study [J].
Kounadis, Georgios ;
Syrigos, Nikolaos ;
Kougioumtzopoulou, Andromachi ;
Bamias, Georgios ;
Kotteas, Ilias ;
Papatheodoridis, Georgios ;
Grapsa, Dimitra .
IN VIVO, 2022, 36 (04) :1875-1880
[33]   Influence of rectal volume changes during radiotherapy for prostate cancer:: A predictive model for mild-tomoderate late rectal toxicity [J].
Miralbell, R ;
Taussky, D ;
Rinaldi, O ;
Lomax, A ;
Canales, S ;
Escude, L ;
Nouet, P ;
Özsoy, O ;
Rouzaud, M .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2003, 57 (05) :1280-1284
[34]   Predictive Factors of Late-onset Rectal Mucosal Changes After Radiotherapy of Prostate Cancer [J].
Ippolito, Edy ;
Guido, Alessandra ;
Macchia, Gabriella ;
Deodato, Francesco ;
Giaccherini, Lucia ;
Farioli, Andrea ;
Arcelli, Alessandra ;
Cuicchi, Dajana ;
Frazzoni, Leonardo ;
Cilla, Savino ;
Buwenge, Milly ;
Mantini, Giovanna ;
Alitto, Anna R. ;
Nuzzo, Marianna ;
Valentini, Vincenzo ;
Ingrosso, Marcello ;
Morganti, Alessio G. ;
Fuccio, Lorenzo .
IN VIVO, 2017, 31 (05) :961-966
[35]   Dose-volume response analyses of late rectal bleeding after radiotherapy for prostate cancer [J].
Tucker, SL ;
Cheung, R ;
Dong, L ;
Liu, HH ;
Thames, HD ;
Huang, EH ;
Kuban, D ;
Mohan, R .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2004, 59 (02) :353-365
[36]   Relationships between bladder dose-volume/surface histograms and acute urinary toxicity after radiotherapy for prostate cancer [J].
Carillo, Viviana ;
Cozzarini, Cesare ;
Rancati, Tiziana ;
Avuzzi, Barbara ;
Botti, Andrea ;
Borca, Valeria Casanova ;
Cattari, Gabriella ;
Civardi, Francesco ;
Esposti, Claudio Degli ;
Franco, Pierfrancesco ;
Girelli, Giuseppe ;
Maggio, Angelo ;
Muraglia, Alessandro ;
Palombarini, Marcella ;
Pierelli, Alessio ;
Pignoli, Emanuele ;
Vavassori, Vittorio ;
Zeverino, Michele ;
Valdagni, Riccardo ;
Fiorino, Claudio .
RADIOTHERAPY AND ONCOLOGY, 2014, 111 (01) :100-105
[37]   Brachytherapy for the treatment of recurrent prostate cancer after radiotherapy or radical prostatectomy [J].
Gomez-Veiga, Francisco ;
Marino, Alfonso ;
Alvarez, Luis ;
Rodriguez, Ignacio ;
Fernandez, Carlos ;
Pertega, Sonia ;
Candal, Arturo .
BJU INTERNATIONAL, 2012, 109 :17-21
[38]   Acute and Late Genitourinary Toxicity after 72 Gy of Conventionally Fractionated Conformal Radiotherapy for Localised Prostate Cancer: Impact of Individual and Clinical Parameters [J].
Stankovic, V. ;
Dzamic, Z. ;
Pekmezovic, T. ;
Tepavcevic, D. K. ;
Dozic, M. ;
Saric, M. ;
Vuckovic, S. ;
Nikitovic, M. .
CLINICAL ONCOLOGY, 2016, 28 (09) :577-586
[39]   Acute and late genitourinary toxicity of conformal radiotherapy for prostate cancer [J].
Yoshimura R.-I. ;
Iwata M. ;
Shibuya H. ;
Sakai Y. ;
Kihara K. .
Radiation Medicine, 2006, 24 (8) :553-559
[40]   Evaluation of clinical and endoscopic toxicity after external beam radiotherapy and endorectal brachytherapy in elderly patients with rectal cancer treated in the HERBERT study [J].
Rijkmans, E. C. ;
van Triest, B. ;
Nout, R. A. ;
Kerkhof, E. M. ;
Buijsen, J. ;
Rozema, T. ;
Franssen, J. H. ;
Velema, L. A. ;
Laman, M. S. ;
Cats, A. ;
Marijnen, C. A. M. .
RADIOTHERAPY AND ONCOLOGY, 2018, 126 (03) :417-423