Adjuvant radiation therapy in metastatic lymph nodes from melanoma
Identifieur interne : 000291 ( France/Analysis ); précédent : 000290; suivant : 000292Adjuvant radiation therapy in metastatic lymph nodes from melanoma
Auteurs : Jean-Emmanuel Bibault [France] ; Sylvain Dewas [France] ; Xavier Mirabel [France] ; Laurent Mortier [France] ; Nicolas Penel [France] ; Luc Vanseymortier [France] ; Eric Lartigau [France]Source :
- Radiation Oncology (London, England) [ 1748-717X ] ; 2011.
Abstract
To analyze the outcome after adjuvant radiation therapy with standard fractionation regimen in metastatic lymph nodes (LN) from cutaneous melanoma.
86 successive patients (57 men) were treated for locally advanced melanoma in our institution. 60 patients (69%) underwent LN dissection followed by radiation therapy (RT), while 26 patients (31%) had no radiotherapy.
The median number of resected LN was 12 (1 to 36) with 2 metastases (1 to 28). Median survival after the first relapse was 31.8 months. Extracapsular extension was a significant prognostic factor for regional control (p = 0.019). Median total dose was 50 Gy (30 to 70 Gy). A standard fractionation regimen was used (2 Gy/fraction). Median number of fractions was 25 (10 to 44 fractions). Patients were treated with five fractions/week. Patients with extracapsular extension treated with surgery followed by RT (total dose ≥50 Gy) had a better regional control than patients treated by surgery followed by RT with a total dose <50 Gy (80% vs. 35% at 5-year follow-up; p = 0.004).
Adjuvant radiotherapy was able to increase regional control in targeted sub-population (LN with extracapsular extension).
Url:
DOI: 10.1186/1748-717X-6-12
PubMed: 21294913
PubMed Central: 3041681
Affiliations:
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PMC:3041681Le document en format XML
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>To analyze the outcome after adjuvant radiation therapy with standard fractionation regimen in metastatic lymph nodes (LN) from cutaneous melanoma.</p>
</sec>
<sec><title>Patients and methods</title>
<p>86 successive patients (57 men) were treated for locally advanced melanoma in our institution. 60 patients (69%) underwent LN dissection followed by radiation therapy (RT), while 26 patients (31%) had no radiotherapy.</p>
</sec>
<sec><title>Results</title>
<p>The median number of resected LN was 12 (1 to 36) with 2 metastases (1 to 28). Median survival after the first relapse was 31.8 months. Extracapsular extension was a significant prognostic factor for regional control (p = 0.019). Median total dose was 50 Gy (30 to 70 Gy). A standard fractionation regimen was used (2 Gy/fraction). Median number of fractions was 25 (10 to 44 fractions). Patients were treated with five fractions/week. Patients with extracapsular extension treated with surgery followed by RT (total dose ≥50 Gy) had a better regional control than patients treated by surgery followed by RT with a total dose <50 Gy (80% vs. 35% at 5-year follow-up; p = 0.004).</p>
</sec>
<sec><title>Conclusion</title>
<p>Adjuvant radiotherapy was able to increase regional control in targeted sub-population (LN with extracapsular extension).</p>
</sec>
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</author>
<author><name sortKey="Driscoll, Dl" uniqKey="Driscoll D">DL Driscoll</name>
</author>
<author><name sortKey="Rose, B" uniqKey="Rose B">B Rose</name>
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</analytic>
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</author>
<author><name sortKey="Jonk, A" uniqKey="Jonk A">A Jonk</name>
</author>
<author><name sortKey="Hart, Aa" uniqKey="Hart A">AA Hart</name>
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</analytic>
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<author><name sortKey="Maddox, Wa" uniqKey="Maddox W">WA Maddox</name>
</author>
<author><name sortKey="Kennedy, Je" uniqKey="Kennedy J">JE Kennedy</name>
</author>
</analytic>
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</author>
<author><name sortKey="Wahl, A" uniqKey="Wahl A">A Wahl</name>
</author>
<author><name sortKey="Brustad, T" uniqKey="Brustad T">T Brustad</name>
</author>
</analytic>
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<biblStruct><analytic><author><name sortKey="Bentzen, Sm" uniqKey="Bentzen S">SM Bentzen</name>
</author>
<author><name sortKey="Overgaard, J" uniqKey="Overgaard J">J Overgaard</name>
</author>
<author><name sortKey="Thames, Hd" uniqKey="Thames H">HD Thames</name>
</author>
</analytic>
</biblStruct>
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<author><name sortKey="Kefford, Rf" uniqKey="Kefford R">RF Kefford</name>
</author>
</analytic>
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</author>
<author><name sortKey="Overgaard, M" uniqKey="Overgaard M">M Overgaard</name>
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<author><name sortKey="Hansen, Pv" uniqKey="Hansen P">PV Hansen</name>
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</back>
</TEI>
<affiliations><list><country><li>France</li>
</country>
<region><li>Hauts-de-France</li>
<li>Nord-Pas-de-Calais</li>
</region>
<settlement><li>Lille</li>
</settlement>
</list>
<tree><country name="France"><region name="Hauts-de-France"><name sortKey="Bibault, Jean Emmanuel" sort="Bibault, Jean Emmanuel" uniqKey="Bibault J" first="Jean-Emmanuel" last="Bibault">Jean-Emmanuel Bibault</name>
</region>
<name sortKey="Dewas, Sylvain" sort="Dewas, Sylvain" uniqKey="Dewas S" first="Sylvain" last="Dewas">Sylvain Dewas</name>
<name sortKey="Lartigau, Eric" sort="Lartigau, Eric" uniqKey="Lartigau E" first="Eric" last="Lartigau">Eric Lartigau</name>
<name sortKey="Mirabel, Xavier" sort="Mirabel, Xavier" uniqKey="Mirabel X" first="Xavier" last="Mirabel">Xavier Mirabel</name>
<name sortKey="Mortier, Laurent" sort="Mortier, Laurent" uniqKey="Mortier L" first="Laurent" last="Mortier">Laurent Mortier</name>
<name sortKey="Penel, Nicolas" sort="Penel, Nicolas" uniqKey="Penel N" first="Nicolas" last="Penel">Nicolas Penel</name>
<name sortKey="Vanseymortier, Luc" sort="Vanseymortier, Luc" uniqKey="Vanseymortier L" first="Luc" last="Vanseymortier">Luc Vanseymortier</name>
</country>
</tree>
</affiliations>
</record>
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