Risk Factors and Time to Occurrence of Genitourinary Toxicity After External Beam Radiotherapy for Prostate Cancer

被引:0
作者
Kanemoto, Ayae [1 ]
Matsumoto, Yasuo [1 ]
Sugita, Tadashi [1 ]
Abe, Eisuke [3 ]
Yamana, Nobuko [3 ]
Saito, Toshihiro [2 ]
Kobayashi, Kazuhiro [2 ]
Yamazaki, Hiroyuki [2 ]
Bilim, Vladimir [2 ]
Tanikawa, Toshiki [2 ]
机构
[1] Niigata Canc Ctr Hosp, Dept Radiat Oncol, 2-15-3 Kawagishi Cho, Niigata 9518566, Japan
[2] Niigata Canc Ctr Hosp, Dept Urol, 2-15-3 Kawagishi Cho, Niigata 9518566, Japan
[3] Niigata Univ, Med & Dent Hosp, Dept Radiat Oncol, Niigata, Japan
关键词
Genitourinary toxicity; timing; risk factor; external-beam radiotherapy; prostate cancer; CONFORMAL RADIOTHERAPY; HORMONAL-THERAPY; DOSE-ESCALATION; TRIAL; OUTCOMES;
D O I
暂无
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Aim: To retrospectively investigate the risk factors and time to occurrence of genitourinary (GU) toxicity after radiotherapy for localized prostate cancer. Patients and Methods: The study included 320 patients. The radiotherapy planning target volume encompassed the prostate with a 1-cm margin in the transverse plane and a 1-cm margin (Group A) or a 1.5-cm margin (Group B) in the longitudinal plane. Incidence rates, risk factors and time to occurrence of GU toxicity were evaluated. Results: After a median follow-up of 38.2 months, the rate of late grade 2-3 GU toxicity was 5.9% and the median interval was 18.3 months. The wider longitudinal margin was the single significant independent factor. The 2-year cumulative incidence rates of late grade >= 2 GU toxicity were 2.8% and 7.5% in Group A and B patients. Conclusion: A wider radiotherapy margin increased the risk of GU toxicity and led to earlier occurrence.
引用
收藏
页码:2441 / 2444
页数:4
相关论文
共 50 条
  • [41] Predictive factors for late genitourinary and gastrointestinal toxicity in patients with prostate cancer treated with adjuvant or salvage radiotherapy
    Feng, Mary
    Hanlon, Alexandra L.
    Pisansky, Thomas M.
    Kljban, Deborah
    Cation, Charles N.
    Michalski, Jeff M.
    Zelefsky, Michael J.
    Kupelian, Patrick A.
    Pollack, Alan
    Kestin, Larry L.
    Valicenti, Richard K.
    DeWeese, Theodore L.
    Sandler, Howard M.
    [J]. INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2007, 68 (05): : 1417 - 1423
  • [42] Predictive Models of Toxicity With External Radiotherapy for Prostate Cancer Clinical Issues
    Valdagni, Riccardo
    Rancati, Tiziana
    Fiorino, Claudio
    [J]. CANCER, 2009, 115 (13) : 3141 - 3149
  • [43] Toxicity and risk factors after combined high-dose-rate brachytherapy and external beam radiation therapy in men ≥75 years with localized prostate cancer
    Loeser, Anastassia
    Beyer, Burkhard
    Carl, Cedric Oliver
    Loeser, Benjamin
    Nagaraj, Yamini
    Frenzel, Thorsten
    Petersen, Cordula
    Kruell, Andreas
    Graefen, Markus
    Schwarz, Rudolf
    [J]. STRAHLENTHERAPIE UND ONKOLOGIE, 2019, 195 (05) : 374 - 382
  • [44] Impact of image guidance on toxicity and tumour outcome in moderately hypofractionated external-beam radiotherapy for prostate cancer
    B. A. Jereczek-Fossa
    A. Maucieri
    G. Marvaso
    S. Gandini
    C. Fodor
    D. Zerini
    G. Riva
    O. Alessandro
    A. Surgo
    S. Volpe
    G. Fanetti
    S. Arculeo
    M. A. Zerella
    S. Parisi
    P. Maisonneuve
    A. Vavassori
    F. Cattani
    R. Cambria
    C. Garibaldi
    A. Starzyńska
    G. Musi
    O. De Cobelli
    M. Ferro
    F. Nolè
    D. Ciardo
    R. Orecchia
    [J]. Medical Oncology, 2019, 36
  • [45] Impact of bladder volume on acute genitourinary toxicity in intensity modulated radiotherapy for localized and locally advanced prostate cancer
    Gruen, Arne
    Kawgan-Kagan, Michael
    Kaul, David
    Badakhshi, Harun
    Stromberger, Carmen
    Budach, Volker
    Boehmer, Dirk
    [J]. STRAHLENTHERAPIE UND ONKOLOGIE, 2019, 195 (06) : 517 - 525
  • [46] Preliminary analysis of risk factors for late rectal toxicity after helical tomotherapy for prostate cancer
    Tomita, Natsuo
    Soga, Norihito
    Ogura, Yuji
    Hayashi, Norio
    Shimizu, Hidetoshi
    Kubota, Takashi
    Ito, Junji
    Hirata, Kimiko
    Ohshima, Yukihiko
    Tachibana, Hiroyuki
    Kodaira, Takeshi
    [J]. JOURNAL OF RADIATION RESEARCH, 2013, 54 (05) : 919 - 924
  • [47] Treatment outcomes of simultaneous integrated boost to intraprostatic lesions with external beam radiotherapy in localized prostate cancer patients
    Onal, Cem
    Erbay, Gurcan
    Guler, Ozan C.
    Yavas, Cagdas
    Oymak, Ezgi
    [J]. PROSTATE, 2023, 83 (12) : 1158 - 1166
  • [48] Propensity Score Matched Analysis of External Beam Radiotherapy With or Without Focal Boost to Intraprostatic Lesions in Prostate Cancer
    Onal, Cem
    Guler, Ozan Cem
    Erbay, Gurcan
    Demirhan, Birhan
    Elmali, Aysenur
    Yavuz, Melek
    [J]. PROSTATE, 2025, : 805 - 813
  • [49] Toxicity and health-related quality of life during and after high dose rate brachytherapy followed by external beam radiotherapy for prostate cancer
    Egawa, S
    Shimura, S
    Irie, A
    Kitano, M
    Nishiguchi, I
    Kuwao, S
    Hayakawa, K
    Baba, S
    [J]. JAPANESE JOURNAL OF CLINICAL ONCOLOGY, 2001, 31 (11) : 541 - 547
  • [50] Use of MRI and spectroscopy in evaluation of external beam radiotherapy for prostate cancer
    Pickett, B
    Kurhanewicz, J
    Coakley, F
    Shinohara, K
    Fein, B
    Roach, M
    [J]. INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2004, 60 (04): : 1047 - 1055