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Phase 1 trial of preoperative, short-course carbon-ion radiotherapy for patients with resectable pancreatic cancer
https://repo.qst.go.jp/records/46605
https://repo.qst.go.jp/records/46605c2c41202-e10f-4c99-be70-ff661061bdfa
Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2013-10-17 | |||||
タイトル | ||||||
タイトル | Phase 1 trial of preoperative, short-course carbon-ion radiotherapy for patients with resectable pancreatic 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 |
Shinoto, Makoto
× Shinoto, Makoto× Yamada, Shigeru× Yasuda, Shigeo× Imada, Hiroshi× Shioyama, Yoshiyuki× Hiroshi, Honda× Kamada, Tadashi× Tsujii, Hirohiko× Saisho, Hiromitsu× et.al× 篠藤 誠× 山田 滋× 安田 茂雄× 今田 浩史× 塩山 善之× 本田 浩× 鎌田 正× 辻井 博彦× 税所 宏光 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | BACKGROUND: The authors evaluated the tolerance and efficacy of carbon-ion radiotherapy (CIRT) as a short-course, preoperative treatment and determined the recommended dose needed to reduce the risk of postoperative local recurrence without excess injury to normal tissue. METHODS: Patients radiographically defined with potentially resectable pancreatic cancer were eligible. A preoperative, short-course, dose-escalation study was performed with fixed 8 fractions in 2 weeks. The dose of irradiation was increased by 5% increments from 30 grays equivalents (GyE) to 36.8 GyE. Surgery was to be performed 2 to 4 weeks after the completion of CIRT. RESULTS: The study enrolled 26 patients. At the time of restaging after CIRT, disease progression with distant metastasis or refusal ruled out 5 patients from surgery. Twenty-one of 26 patients (81%) patients underwent surgery. The pattern of initial disease progression was distant metastasis in 17 patients (65%) and regional recurrence in 2 patients (8%). No patients experienced local recurrence. The 5-year survival rates for all 26 patients and for those who underwent surgery were 42% and 52%, respectively. CONCLUSIONS: Preoperative, short-course CIRT followed by surgery is feasible and tolerable without unacceptable morbidity. Cancer 2013. © 2012 American Cancer Society. |
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書誌情報 |
Cancer 巻 119, 号 1, p. 45-51, 発行日 2012-06 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0008-543X | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1002/cncr.27723 |