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Carbon Ion Radiotherapy for Pancreatic Cancer

https://repo.qst.go.jp/records/65289
https://repo.qst.go.jp/records/65289
00bca364-e92c-42ca-bc1f-a2b9ac7feae5
Item type 会議発表用資料 / Presentation(1)
公開日 2013-11-14
タイトル
タイトル Carbon Ion Radiotherapy for 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_c94f
資源タイプ conference object
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 Yamada, Shigeru

× Yamada, Shigeru

WEKO 643354

Yamada, Shigeru

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Shinoto, Makoto

× Shinoto, Makoto

WEKO 643355

Shinoto, Makoto

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Terashima, Koutaro

× Terashima, Koutaro

WEKO 643356

Terashima, Koutaro

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Yasuda, Shigeo

× Yasuda, Shigeo

WEKO 643357

Yasuda, Shigeo

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Imada, Hiroshi

× Imada, Hiroshi

WEKO 643358

Imada, Hiroshi

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Kamada, Tadashi

× Kamada, Tadashi

WEKO 643359

Kamada, Tadashi

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Tsujii, Hirohiko

× Tsujii, Hirohiko

WEKO 643360

Tsujii, Hirohiko

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山田 滋

× 山田 滋

WEKO 643361

en 山田 滋

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篠藤 誠

× 篠藤 誠

WEKO 643362

en 篠藤 誠

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寺嶋 広太郎

× 寺嶋 広太郎

WEKO 643363

en 寺嶋 広太郎

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安田 茂雄

× 安田 茂雄

WEKO 643364

en 安田 茂雄

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今田 浩史

× 今田 浩史

WEKO 643365

en 今田 浩史

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鎌田 正

× 鎌田 正

WEKO 643366

en 鎌田 正

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辻井 博彦

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WEKO 643367

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内容記述タイプ Abstract
内容記述 The number of deaths from pancreatic cancer in Japan exceeds 26,000 per year, and the number is increasing every year1. Pancreatic cancer is the fifth leading cause of cancer death and it is considered to be one of the most lethal cancers in Japan. Complete surgical resection is the only curative treatment. However, only a small percentage of patients (10-20%) are candidates for surgical resection because of local progression or metastatic spread at the time of diagnosis2, 3. Even if a curative resection is performed, the disease usually recurs and 5-year survival rates are less than 20% 4, 5.
Chemotherapy or chemoradiotherapy is selected as a standard treatment for unresectable pancreatic cancer. However, since pancreatic cancer is often resistant to chemotherapy or radiotherapy, the local control rate is very low. Recently, along with the development of new anticancer agents, the irradiation techniques have greatly progressed following the introduction of highly advanced radiotherapy. However, the outcome from therapy is still not satisfactory, with the median survival being approximately 10 months6, 7. We started phase I/II clinical trial for pre-operative carbon ion radiotherapy (CIRT) with 16 fractions in 4 weeks for resectable pancreatic cancer in 2000 (Figure 1).
The purpose of this treatment was to reduce the risk of postoperative local recurrence, which accounts for approximately 50% of total recurrences. We established the tolerance and effectiveness of preoperative CIRT and performed a clinical trial aimed at shortening the fraction size to 8 fractions in 2 weeks beginning in 2003 (Protocol 0203). In addition, we started phase I/II clinical trial for patients with locally advanced pancreatic cancer and showed that the treatment was safe and provided excellent local control rates. Accordingly, we are currently performing a clinical trial of using carbon ion radiotherapy combined with gemcitabine (Protocol 0513).
会議概要(会議名, 開催地, 会期, 主催者等)
内容記述タイプ Other
内容記述 New Frontiers in Cancer Treatment
発表年月日
日付 2012-04-27
日付タイプ Issued
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