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Carbon Ion Radiotherapy for Locally Advanced Adenocarcinoma of the Uterine Cervix

https://repo.qst.go.jp/records/54410
https://repo.qst.go.jp/records/54410
c17168e4-0b77-4824-9851-fb8fe987cf89
Item type 会議発表論文 / Conference Paper(1)
公開日 2013-11-18
タイトル
タイトル Carbon Ion Radiotherapy for Locally Advanced Adenocarcinoma of the Uterine Cervix
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_5794
資源タイプ conference paper
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 Kato, Shingo

× Kato, Shingo

WEKO 555748

Kato, Shingo

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Kiyohara, Hiroki

× Kiyohara, Hiroki

WEKO 555749

Kiyohara, Hiroki

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Tsujii, Hirohiko

× Tsujii, Hirohiko

WEKO 555750

Tsujii, Hirohiko

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Suzuki, Michiya

× Suzuki, Michiya

WEKO 555751

Suzuki, Michiya

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加藤 眞吾

× 加藤 眞吾

WEKO 555752

en 加藤 眞吾

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清原 浩樹

× 清原 浩樹

WEKO 555753

en 清原 浩樹

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辻井 博彦

× 辻井 博彦

WEKO 555754

en 辻井 博彦

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鈴木 通也

× 鈴木 通也

WEKO 555755

en 鈴木 通也

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抄録
内容記述タイプ Abstract
内容記述 Purpose: To evaluate the toxicity and efficacy of carbon ion radiotherapy (CIRT) for locally advanced cervical adenocarcinoma by phase I/II dose-escalation study.
Methods and Materials: Between April 1998 and August 2008, 45 patients with cervical adenocarcinoma were treated with CIRT. Histologically, 36 patients had adenocarcinomas and 9 had adenosquamous carcinomas. Fifteen patients had stage IIB, 28 had stage IIIB, and 2 had stage IVA disease. The dose of the whole pelvic irradiation was fixed at 36.0 gray equivalent (GyE) in 12 fractions, and an additional dose of 26.4-38.4 GyE in 8 fractions was delivered to the cervix (total dose: 62.4-74.4 GyE). The dose to the GI tracts was limited to less than 60 GyE. The median follow-up duration for all patients was 23 months (range, 6-93 months).
Results: No patient developed severe acute toxicity. No patient developed major late complications except for one patient with a rectovaginal fistula. Local control was obtained in 4 of the 7 patients receiving a total of 62.4-64.8 GyE, in 7 of the 10 patients receiving 68.0 GyE, in 17 of the 21 patients receiving 71.2GyE, and in all of 7 patients receiving 74.4 GyE. The 5-year overall survival rates for all patients and the 33 patients with stage IIIB or IVA disease were 43% and 42%, respectively.
Conclusions: Although the number of patients was small, the results have suggested that CIRT provided favorable local tumor control and overall survival with acceptable rates of late complications in the treatment of locally advanced cervical adenocarcinoma.
書誌情報 NIRS-ETOILE Joint Symposium on Carbon Ion Radiotherapy

巻 NIRS-M-210, 号 218, p. 80-87, 発行日 2009
出版者
出版者 National Institute of Radiological Sciences
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