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Clinical significance of GLUT-1 expression in patients with esophageal cancer treated with concurrent chemoradiotherapy
https://repo.qst.go.jp/records/46410
https://repo.qst.go.jp/records/46410abfa5cec-0854-46b7-abee-40a2aec034e7
Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2012-10-02 | |||||
タイトル | ||||||
タイトル | Clinical significance of GLUT-1 expression in patients with esophageal cancer treated with concurrent chemoradiotherapy | |||||
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 |
Chiba, Itaru
× Chiba, Itaru× Ogawa, Kazuhiko× Morioka, Takamitsu× Shimoji, Hideaki× Sunagawa, Nao× Iraha, Shiro× Nishimaki, Tadashi× Yoshimi, Naoki× Murayama, Sadayuki× 森岡 孝満 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | This study aimed to investigate whether glucose transporter-1 (GLUT-1) expression in a pretreatment esophageal cancer biopsy was predictive of clinical outcomes in patients with esophageal cancer undergoing concurrent chemoradiotherapy (CRT). A total of 25 patients with esophageal cancer treated with concurrent CRT were reviewed. Radiotherapy was administered up to total doses of 40-66.6 Gy (median 66.6 Gy) with a single fraction of 1.8-2 Gy. Regarding chemotherapy, cisplatin (80 mg/m2 on day 1) and 5-fluorouracil (800 mg/m2 on days 2-6) were used concurrently with radiotherapy, every 3-4 weeks for a total of 1-2 courses. Tissue samples from esophageal carcinoma were obtained from the 25 patients by biopsy prior to concurrent CRT, and a semiquantitative analysis of GLUT-1 expression was performed using immunohistochemical staining. High GLUT-1 expression was observed in 7 of 25 (28%) patients, and GLUT-1 expression was significantly correlated with clinical T stage (p=0.0454), clinical N stage (p=0.0324) and initial response to CRT (p=0.0185). Patients with a high GLUT-1 expression had significantly poorer local control (LC) (5-year LC 28.6%) than those with a low expression (5-year LC 73.4%, p<005). Multivariate analysis revealed that GLUT-1 and the number of chemotherapy courses were independent prognostic factors for LC. Patients with a high GLUT-1 expression had significantly lower recurrence-free survival (RFS) compared to those with a low GLUT-1 expression (p=0.0405). Multivariate analysis revealed that GLUT-1, the number of chemotherapy courses and clinical M stage were independent prognostic factors for RFS. GLUT-1 expression was significantly correlated with clinical T stage, clinical N stage and initial response to concurrentCRT, and was predictive of LC and RFS for patients with esophageal cancer treated with concurrent CRT. | |||||
書誌情報 |
Oncology Letters 巻 2, 号 1, p. 21-28, 発行日 2011-01 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1792-1074 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | 10.3892/ol.2010.199 |