WEKO3
アイテム
Carbon-ion radiotherapy for cholangiocarcinoma: a multi-institutional study by and the Japan carbon-ion radiation oncology study group (J-CROS).
https://repo.qst.go.jp/records/76325
https://repo.qst.go.jp/records/76325b1ba0275-d837-4b97-bc89-4a7f9303dfab
Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2019-07-22 | |||||
タイトル | ||||||
タイトル | Carbon-ion radiotherapy for cholangiocarcinoma: a multi-institutional study by and the Japan carbon-ion radiation oncology study group (J-CROS). | |||||
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 |
Kasuya, Goro
× Kasuya, Goro× Terashima, Kazuki× Shibuya, Kei× Toyama, Shingo× K Ebner, Daniel× Tsuji, Hiroshi× Okimoto, Tomoaki× Ohno, Tatsuya× Shioyama, Yoshiyuki× Nakano, Takashi× Kamada, Tadashi× Kasuya, Goro× Terashima, Kazuki× Shibuya, Kei× Toyama, Shingo× Tsuji, Hiroshi× Okimoto, Tomoaki× Ohno, Tatsuya× Shioyama, Yoshiyuki× Nakano, Takashi× Kamada, Tadashi |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | To evaluate the safety and efficacy of carbon-ion radiotherapy (CIRT) for cholangiocarcinoma via a multicenter retrospective study. Clinical data were collected from patients with cholangiocarcinoma who had received CIRT at one of four treating institutions in Japan. Of 56 eligible patients, none received surgery for cholangiocarcinoma before or after CIRT. The primary endpoint was overall survival (OS). Based on the tumor site, the 56 cases were categorized as intrahepatic cholangiocarcinoma (IHC) (n=27) or perihilar cholangiocarcinoma (PHC) (n=29). In all patients, the median tumor size was 37 (range, 15‒110) mm, and the most commonly prescribed dose was 76 Gy (relative biological effectiveness) in 20 fractions. The median survival was 14.8 (range, 2.1-129.2) months, and the 1- and 2-year OS rates were 69.7% and 40.9%, respectively. The median survival times of the patients with IHC and those with PHC were 23.8 and 12.6 months, respectively. Both univariate and multivariate analyses revealed that cholangitis pre-CIRT and Child‒Pugh class B were significant prognostic factors for an unfavorable OS. Of four patients who died of liver failure, one with IHC was suspected to have radiation-induced liver disease because of newly developed ascites, and died at 4.3 months post-CIRT. Grade 3 CIRT-related bile duct stenosis was observed in one IHC case. No other CIRT-related severe adverse events, including gastrointestinal events, were observed. These results suggest that CIRT yields relatively favorable treatment outcomes, especially for patients with IHC, and acceptable toxicities were observed in patients with cholangiocarcinoma who did not receive surgery. | |||||
書誌情報 |
Oncotarget 巻 10, 号 43, p. 4369-4379, 発行日 2019-06 |
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出版者 | ||||||
出版者 | Impact Journals | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1949-2553 | |||||
PubMed番号 | ||||||
識別子タイプ | PMID | |||||
関連識別子 | 31320991 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | 10.18632/oncotarget.27028 | |||||
関連サイト | ||||||
識別子タイプ | URI | |||||
関連識別子 | http://www.oncotarget.com/index.php?journal=oncotarget&page=article&op=view&path%5B%5D=27028&path%5B%5D=85902 |