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Carbon Ion Radiotherapy For Adenocarcinoma of The Head and Neck

https://repo.qst.go.jp/records/71268
https://repo.qst.go.jp/records/71268
52159cd8-6611-4334-b4cc-887ead968076
Item type 会議発表用資料 / Presentation(1)
公開日 2013-09-30
タイトル
タイトル Carbon Ion Radiotherapy For Adenocarcinoma of The Head and Neck
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 Hasegawa, Azusa

× Hasegawa, Azusa

WEKO 700584

Hasegawa, Azusa

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Koto, Masashi

× Koto, Masashi

WEKO 700585

Koto, Masashi

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Takagi, Ryo

× Takagi, Ryo

WEKO 700586

Takagi, Ryo

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Sasahara, Go

× Sasahara, Go

WEKO 700587

Sasahara, Go

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Ikawa, Hiroaki

× Ikawa, Hiroaki

WEKO 700588

Ikawa, Hiroaki

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Tsuji, Hiroshi

× Tsuji, Hiroshi

WEKO 700589

Tsuji, Hiroshi

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Kamada, Tadashi

× Kamada, Tadashi

WEKO 700590

Kamada, Tadashi

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長谷川 安都佐

× 長谷川 安都佐

WEKO 700591

en 長谷川 安都佐

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小藤 昌志

× 小藤 昌志

WEKO 700592

en 小藤 昌志

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高木 亮

× 高木 亮

WEKO 700593

en 高木 亮

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佐々原 剛

× 佐々原 剛

WEKO 700594

en 佐々原 剛

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伊川 裕明

× 伊川 裕明

WEKO 700595

en 伊川 裕明

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辻 比呂志

× 辻 比呂志

WEKO 700596

en 辻 比呂志

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鎌田 正

× 鎌田 正

WEKO 700597

en 鎌田 正

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抄録
内容記述タイプ Abstract
内容記述 Purpose/Objective(s)
To estimate the toxicity and efficacy of carbon ion radiotherapy for adenocarcinoma of the head-and-neck.
Materials/Methods
Between April 1997 and February 2012, a total of 50 patients with adenocarcinoma of the head-and-neck were treated with carbon ion radiotherapy. None of these patients had either regional lymph node or distant metastasis before radiotherapy.The prescribed tumor doses were 57.6 or 64.0 GyE in 16 fractions over four weeks. All patients provided written informed consent before enrollment in this study.
The National Institute of Radiological Sciences Ethical Committee on Human Clinical Research has approved this study.
Results
The patients consisted of 29 males and 21 females aged from 26 to 80 years with an average age of 61 years. As for the tumor sites studied, there were 15 paranasal sinus, 9 orbit, 7 nasal cavity, 7 major salivary gland, 5 pharynx, 4 oral cavity, 2 external ear canal and 1 parapharyngeal space. Forty-one of 50 patients with unresectable tumors or with recurrence and residual tumors after other treatment were permitted to partake in the carbon ion radiotherapy. The gross tumor volume ranged from 1.8 to 227.7 ml, with an average of 67.2 ml.Median follow-up time was 42.5 months (range, 3.9-179.8 months). Although acute grade 3 skin and mucosal reactions appeared in 2 of 50 patients (4%) and 8 of 45 patients (18%), almost all of the late skin and mucosal reactions were grade 1 or less. At the time of analysis, there was no evidence of any unexpected severe toxicity to the critical organs. The 5-year local control and overall survival rates of all patients were 83% and 55%, respectively. As for the T stage studied, the 5-year local control rates were 88% for stage from T1 to T3, 74% for T4 and 88% for recurrence and residual tumors after other treatment. The 5-year overall survival rates were 88% for stage from T1 to T3, 42% for T4 and 54% for recurrence and residual tumors after other treatment, respectively.
Conclusions
Our results showed acceptable toxicities and excellent therapeutic effectiveness for adenocarcinomas.
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's 55th Annual Meeting
発表年月日
日付 2013-09-25
日付タイプ Issued
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