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  1. 原著論文

Hyperfractionated Radiation Therapy for Locoregionally Advanced Nasopharyngeal Cancer

https://repo.qst.go.jp/records/44884
https://repo.qst.go.jp/records/44884
ce16473f-56dd-44db-b829-613230fac09a
Item type 学術雑誌論文 / Journal Article(1)
公開日 2007-06-18
タイトル
タイトル Hyperfractionated Radiation Therapy for Locoregionally Advanced Nasopharyngeal Cancer
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
アクセス権
アクセス権 metadata only access
アクセス権URI http://purl.org/coar/access_right/c_14cb
著者 Uno, Takashi

× Uno, Takashi

WEKO 445803

Uno, Takashi

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Yasuda, Shigeo

× Yasuda, Shigeo

WEKO 445804

Yasuda, Shigeo

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Ito, Hisao

× Ito, Hisao

WEKO 445805

Ito, Hisao

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宇野 隆

× 宇野 隆

WEKO 445806

en 宇野 隆

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安田 茂雄

× 安田 茂雄

WEKO 445807

en 安田 茂雄

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伊東 久夫

× 伊東 久夫

WEKO 445808

en 伊東 久夫

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抄録
内容記述タイプ Abstract
内容記述 OBJECTIVE: The purpose of this study is to clarify the efficacy and toxicity of hyperfractionated radiation therapy (RT) for patients with nasopharyngeal cancer (NPC). METHODS: Twenty-two patients with NPC treated at our hospital between April 1994 and December 2002 were the subjects of this study. They received hyperfractionated RT with a fraction size of 1.2 Gy, with a median tumor dose of 72 Gy (range 64.8-80.4). During this study period, our institutional strategy for locoregionally advanced NPC included neoadjuvant or concurrent chemotherapy combined with hyperfractionated RT, and 17 patients received some forms of cisplatin-containing chemotherapy. RESULTS: With a median follow-up of 59 months, the estimated 5-year disease-free survival rate and overall survival rate were 72.7 and 85.2%, respectively. Acute hematological toxicities were acceptable and manageable. However, >50% of patients required nutritional support, and experienced severe pharyngitis, skin reaction and body weight loss. With regard to late sequelae, one patient developed grade 3 osteomyelitis, and one patient each developed grade 4 passage disturbance and laryngeal edema. No patients experienced any grades of optic nerve injury or temporal lobe necrosis. CONCLUSIONS: Hyperfractionated RT using 1.2 Gy per fraction, for a total dose of 72 Gy, produces a comparable treatment outcome. Although deleterious neurological sequelae were not observed in this study, caution should be exercised regarding other late sequelae, such as osteomyelitis and passage disturbance.
書誌情報 Japanese Journal of Clinical Oncology

巻 35, 号 3, p. 116-120, 発行日 2005-03
ISSN
収録物識別子タイプ ISSN
収録物識別子 0368-2811
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