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Clinical Results of Carbon Ion Radiotherapy for Lymph Node Recurrence from Resected Colorectal Cancer

https://repo.qst.go.jp/records/70314
https://repo.qst.go.jp/records/70314
f03885fe-7db1-426e-8bfc-f87d9e3c30c8
Item type 会議発表用資料 / Presentation(1)
公開日 2010-11-09
タイトル
タイトル Clinical Results of Carbon Ion Radiotherapy for Lymph Node Recurrence from Resected Colorectal 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 Shinoto, Makoto

× Shinoto, Makoto

WEKO 690403

Shinoto, Makoto

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Yamada, Shigeru

× Yamada, Shigeru

WEKO 690404

Yamada, Shigeru

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Yasuda, Shigeo

× Yasuda, Shigeo

WEKO 690405

Yasuda, Shigeo

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Imada, Hiroshi

× Imada, Hiroshi

WEKO 690406

Imada, Hiroshi

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Kamada, Tadashi

× Kamada, Tadashi

WEKO 690407

Kamada, Tadashi

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Tsujii, Hirohiko

× Tsujii, Hirohiko

WEKO 690408

Tsujii, Hirohiko

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篠藤 誠

× 篠藤 誠

WEKO 690409

en 篠藤 誠

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山田 滋

× 山田 滋

WEKO 690410

en 山田 滋

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安田 茂雄

× 安田 茂雄

WEKO 690411

en 安田 茂雄

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今田 浩史

× 今田 浩史

WEKO 690412

en 今田 浩史

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鎌田 正

× 鎌田 正

WEKO 690413

en 鎌田 正

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辻井 博彦

× 辻井 博彦

WEKO 690414

en 辻井 博彦

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抄録
内容記述タイプ Abstract
内容記述 Purpose: To evaluate the efficacy and complication of carbon ion radiotherapy in treating patients affected by lymph node recurrence from resected colorectal cancer.
Methods and Materials: Between December 2004 and December 2009, a total of 26 patients with 34 lymph node recurrences from resected colorectal cancer were treated with carbon ion radiotherapy. Lymph node recurrence from colorectal cancer without distant metastasis was confirmed by computed tomography, magnetic resonance, and carbon-11 methionine positron emission tomography findings. The subsite distribution was paraaortic area, 59% (n=20); iliac, 26% (n=9); mediastinal, 9% (n=3); inguinal, 3% (n=1); and aortoiliac, 3% (n=1). Twenty-one of 26 patients had undergone multimodality therapy for locoregional and/or metastatic recurrence. The median age was 55 years (range, 38-85). The doses were escalated from 48GyE to 52.8GyE and were delivered in 12 fractions/3weeks. The median follow-up period was 16.8 months.
Results: All patients completed the scheduled treatment course. No patient experienced acute or late morbidity of grade 3 or higher. Tumor response was evaluated in 34 lesions. Complete response (CR) was observed in 14 lesions and partial response (PR) in 13. Two lesions remained stable disease. The overall tumor response rate (CR+PR) was 79%. Remarkable anti-tumor effects were observed. The local control rates were 91% and 72% at 1 year and at 3 years, respectively. There is no local recurrence in the lesions receiving 50.4GyE or more. The overall survival rates were 90% and 62% at 1 year and at 3 years, respectively.
Conclusions: Carbon ion radiotherapy seems to be a safe and effective modality in the management of lymph node recurrence from resected colorectal cancer, providing good local control and offering a survival advantage without unacceptable morbidity.
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 ASTRO 52nd Annual Meeting
発表年月日
日付 2010-11-04
日付タイプ Issued
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