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  1. 原著論文

Carbon ion radiotherapy for localized primary sarcoma of the extremities: Results of a phase I/II trial

https://repo.qst.go.jp/records/46474
https://repo.qst.go.jp/records/46474
e30d415f-63ed-4b27-a82c-5b61e9ca3b70
Item type 学術雑誌論文 / Journal Article(1)
公開日 2013-01-09
タイトル
タイトル Carbon ion radiotherapy for localized primary sarcoma of the extremities: Results of a phase I/II trial
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 Sugahara, Shinji

× Sugahara, Shinji

WEKO 463056

Sugahara, Shinji

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Kamada, Tadashi

× Kamada, Tadashi

WEKO 463057

Kamada, Tadashi

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Imai, Reiko

× Imai, Reiko

WEKO 463058

Imai, Reiko

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Tsuji, Hiroshi

× Tsuji, Hiroshi

WEKO 463059

Tsuji, Hiroshi

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Kameda, Noriaki

× Kameda, Noriaki

WEKO 463060

Kameda, Noriaki

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Okada, Tohru

× Okada, Tohru

WEKO 463061

Okada, Tohru

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Tsujii, Hirohiko

× Tsujii, Hirohiko

WEKO 463062

Tsujii, Hirohiko

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Tatezaki, Shinichiroh

× Tatezaki, Shinichiroh

WEKO 463063

Tatezaki, Shinichiroh

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菅原 信二

× 菅原 信二

WEKO 463064

en 菅原 信二

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鎌田 正

× 鎌田 正

WEKO 463065

en 鎌田 正

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今井 礼子

× 今井 礼子

WEKO 463066

en 今井 礼子

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辻 比呂志

× 辻 比呂志

WEKO 463067

en 辻 比呂志

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亀田 典章

× 亀田 典章

WEKO 463068

en 亀田 典章

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岡田 徹

× 岡田 徹

WEKO 463069

en 岡田 徹

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辻井 博彦

× 辻井 博彦

WEKO 463070

en 辻井 博彦

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舘崎 愼一郎

× 舘崎 愼一郎

WEKO 463071

en 舘崎 愼一郎

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抄録
内容記述タイプ Abstract
内容記述 Purpose
To determine the effectiveness of carbon ion radiotherapy (CIRT) for localized primary sarcomas of the extremities in a prospective study.
\nPatients and materials
From April 2000 to May 2010, 17 (male/female: 12/5) patients with localized primary sarcoma of the extremities received CIRT. The median age was 53 years (range: 14–87 years). Nine patients had primary diseases and eight had recurrent diseases. Of the 17 patients, eight refused amputation, and the remaining nine refused surgical resection. Tumors were located in the upper limbs in four patients and lower limbs in 13. Histological diagnosis was osteosarcoma in three patients, liposarcoma in two, synovial sarcoma in two, rhabdomyosarcoma in two, pleomorphic sarcoma in two, and miscellaneous in six. The CIRT dose to the limb was 52.8 GyE for one patient, 64 GyE for three, 70.4 GyE for 13 in 16 fixed fractions over 4 weeks. Records were reviewed and outcomes including radiologic response, local control (progression-free), and survival were analyzed.
\nResults
The median follow-up was 37 months (range: 11–97 months). Radiological response rate was 65% (PR in 11, SD in 5, and PD in 1). The local control rate at 5 years was 76%. The overall survival rate at 5 years was 56%. Of the 17 patients, 10 survived without disease progression. Four patients had local recurrences, one was salvaged by repeated CIRT and the other three died due to systemic diseases. Distant failure was observed in six patients. One patient suffered from femoral fracture (grade 3) and received surgical fixation 27 months after CIRT. No other severe reactions (grade 3) were observed.
\nConclusions
CIRT is suggested to be an effective and safe treatment for patients who refuse surgery for localized primary sarcomas of the extremities
書誌情報 Radiotherapy and Oncology

巻 105, 号 2, p. 226-231, 発行日 2012-10
ISSN
収録物識別子タイプ ISSN
収録物識別子 0167-8140
関連サイト
識別子タイプ DOI
関連識別子 http://dx.doi.org/10.1016/j.radonc.2012.09.010
関連名称 http://dx.doi.org/10.1016/j.radonc.2012.09.010
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