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  1. 原著論文

A clinical study of curative partial breast irradiation for stage I breast cancer using carbon ion radiotherapy

https://repo.qst.go.jp/records/81147
https://repo.qst.go.jp/records/81147
c5ad413f-9aa9-4db2-8c6d-97c833fa8cac
Item type 学術雑誌論文 / Journal Article(1)
公開日 2020-11-30
タイトル
タイトル A clinical study of curative partial breast irradiation for stage I breast cancer using carbon ion radiotherapy
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 Karasawa, Kumiko

× Karasawa, Kumiko

WEKO 1013883

Karasawa, Kumiko

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Omatsu, Tokuhiko

× Omatsu, Tokuhiko

WEKO 1013884

Omatsu, Tokuhiko

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Shiba, Shintaro

× Shiba, Shintaro

WEKO 1013885

Shiba, Shintaro

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Irie, Daisuke

× Irie, Daisuke

WEKO 1013886

Irie, Daisuke

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Wakatsuki, Masaru

× Wakatsuki, Masaru

WEKO 1013887

Wakatsuki, Masaru

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Fukuda, Shigekazu

× Fukuda, Shigekazu

WEKO 1013888

Fukuda, Shigekazu

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Kumiko, Karasawa

× Kumiko, Karasawa

WEKO 1013889

en Kumiko, Karasawa

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Tokuhiko, Omatsu

× Tokuhiko, Omatsu

WEKO 1013890

en Tokuhiko, Omatsu

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Shintaro, Shiba

× Shintaro, Shiba

WEKO 1013891

en Shintaro, Shiba

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Daisuke, Irie

× Daisuke, Irie

WEKO 1013892

en Daisuke, Irie

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Masaru, Wakatsuki

× Masaru, Wakatsuki

WEKO 1013893

en Masaru, Wakatsuki

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Shigekazu, Fukuda

× Shigekazu, Fukuda

WEKO 1013894

en Shigekazu, Fukuda

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抄録
内容記述タイプ Abstract
内容記述 Background and purpose: Our institute initiated carbon ion radiotherapy research for patients with stage I breast cancer in April 2013. The purpose of this article is to evaluate the treatment outcome of cases treated outside clinical trial up to May 2020.

Materials and methods: Eligibility criteria of the patients were having untreated stage I breast cancer and being unsuitable for operation for physical or mental reasons. The irradiated volume was defined as the gross tumor including intraductal components. The dose escalation study was initially conducted four times a week for a total of 52.8 Gy [relative biological efficacy (RBE)]. After confirming that adverse effects were within acceptable range, the total dose was increased to 60.0 Gy (RBE).

Results: Between April 2013 and November 2015, 14 cases were treated. The median follow up period was 61 months. No adverse toxicities were observed except for grade 1 acute skin reaction in 10 cases. The time required from carbonion radiotherapy to tumor disappearance was 3 months in 1 case, 6 months in 3 cases, 12 months in 4 cases, and 24 months in 5 cases. The third case developed local recurrence 6 months after radiotherapy. Twelve patients with luminal subtype received 5-year endocrine therapy. Thirteen of 14 tumors have been maintaining complete response with excellent cosmetic results.

Conclusions: The time from carbon ion radiotherapy to tumor disappearance was longer than expected, but complete tumor disappearance was observed except for one high-grade case. With careful patient selection, carbonion radiotherapy in patients with stage I breast cancer is deemed effective and safe, and further research is recommended.
書誌情報 Radiation oncology (London, England)

巻 15, 号 1, p. 265, 発行日 2020-11
出版者
出版者 BioMed Central
ISSN
収録物識別子タイプ ISSN
収録物識別子 1748-717X
PubMed番号
識別子タイプ PMID
関連識別子 33187529
DOI
識別子タイプ DOI
関連識別子 10.1186/s13014-020-01713-1
関連サイト
識別子タイプ DOI
関連識別子 https://doi.org/10.1186/s13014-020-01713-1
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