Radiotherapy for Japanese elderly patients with cervical cancer: preliminary survival outcomes and evaluation of treatment-related toxicity
Identifieur interne : 003F83 ( Ncbi/Checkpoint ); précédent : 003F82; suivant : 003F84Radiotherapy for Japanese elderly patients with cervical cancer: preliminary survival outcomes and evaluation of treatment-related toxicity
Auteurs : Kenji Yoshida ; Ryohei Sasaki ; Hideki Nishimura ; Daisuke Miyawaki ; Tetsuya Kawabe [Japon] ; Yoshiaki Okamoto [Japon] ; Koji Nakabayashi ; Shigeki Yoshida ; Kazuro SugimuraSource :
- Archives of Gynecology and Obstetrics [ 0932-0067 ] ; 2010.
Abstract
To examine the preliminary survival outcomes and treatment-related toxicity for elderly patients with cervical cancer treated with radiotherapy (RT).
Forty patients ≥75 years old with cervical cancer who were treated with RT were evaluated. Of these 40 patients, 25 were classified as FIGO stage I or II and 15 as stage III or IVA. Thirty-five patients were treated with radical RT (RRT), and five were treated with surgery plus adjuvant RT (S + ART). External beam radiotherapy combined with high-dose-rate intracavitary brachytherapy was performed on 31 patients who were treated with RRT and on 2 patients who were treated with S + ART because of positive vaginal surgical margins. The patients’ median age was 78 years (range 75–89 years). Concurrent chemotherapy (CCT) was performed on five patients (RRT: 3, S + ART: 2).
The median follow-up period was 20 months (range 1–85 months). Only one patient could not complete RT. The 3-year overall and disease-specific survival (OS and DSS) rates for all patients were 58 and 80%, respectively. Five patients experienced Grade 3 acute toxicity; two were treated with RRT (2/35), and three were treated with S + ART (3/5, 2 of them with CCT). Two patients experienced Grade 3 late toxicity; one was treated with RRT (1/35, with CCT) and the other was treated with S + ART (1/5). No Grade 4 or higher toxicity was experienced.
RRT for elderly patients with cervical cancer is generally effective and safe, but severe toxicity may occur with more aggressive treatment modalities.
Url:
DOI: 10.1007/s00404-010-1777-6
PubMed: 21116639
PubMed Central: 3171672
Affiliations:
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Radiotherapy for Japanese elderly patients with cervical cancer: preliminary survival outcomes and evaluation of treatment-related toxicity</title>
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<author><name sortKey="Nishimura, Hideki" sort="Nishimura, Hideki" uniqKey="Nishimura H" first="Hideki" last="Nishimura">Hideki Nishimura</name>
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<author><name sortKey="Yoshida, Shigeki" sort="Yoshida, Shigeki" uniqKey="Yoshida S" first="Shigeki" last="Yoshida">Shigeki Yoshida</name>
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<author><name sortKey="Sugimura, Kazuro" sort="Sugimura, Kazuro" uniqKey="Sugimura K" first="Kazuro" last="Sugimura">Kazuro Sugimura</name>
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<series><title level="j">Archives of Gynecology and Obstetrics</title>
<idno type="ISSN">0932-0067</idno>
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>To examine the preliminary survival outcomes and treatment-related toxicity for elderly patients with cervical cancer treated with radiotherapy (RT).</p>
</sec>
<sec><title>Methods</title>
<p>Forty patients ≥75 years old with cervical cancer who were treated with RT were evaluated. Of these 40 patients, 25 were classified as FIGO stage I or II and 15 as stage III or IVA. Thirty-five patients were treated with radical RT (RRT), and five were treated with surgery plus adjuvant RT (S + ART). External beam radiotherapy combined with high-dose-rate intracavitary brachytherapy was performed on 31 patients who were treated with RRT and on 2 patients who were treated with S + ART because of positive vaginal surgical margins. The patients’ median age was 78 years (range 75–89 years). Concurrent chemotherapy (CCT) was performed on five patients (RRT: 3, S + ART: 2).</p>
</sec>
<sec><title>Results</title>
<p>The median follow-up period was 20 months (range 1–85 months). Only one patient could not complete RT. The 3-year overall and disease-specific survival (OS and DSS) rates for all patients were 58 and 80%, respectively. Five patients experienced Grade 3 acute toxicity; two were treated with RRT (2/35), and three were treated with S + ART (3/5, 2 of them with CCT). Two patients experienced Grade 3 late toxicity; one was treated with RRT (1/35, with CCT) and the other was treated with S + ART (1/5). No Grade 4 or higher toxicity was experienced.</p>
</sec>
<sec><title>Conclusions</title>
<p>RRT for elderly patients with cervical cancer is generally effective and safe, but severe toxicity may occur with more aggressive treatment modalities.</p>
</sec>
</div>
</front>
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</list>
<tree><noCountry><name sortKey="Miyawaki, Daisuke" sort="Miyawaki, Daisuke" uniqKey="Miyawaki D" first="Daisuke" last="Miyawaki">Daisuke Miyawaki</name>
<name sortKey="Nakabayashi, Koji" sort="Nakabayashi, Koji" uniqKey="Nakabayashi K" first="Koji" last="Nakabayashi">Koji Nakabayashi</name>
<name sortKey="Nishimura, Hideki" sort="Nishimura, Hideki" uniqKey="Nishimura H" first="Hideki" last="Nishimura">Hideki Nishimura</name>
<name sortKey="Sasaki, Ryohei" sort="Sasaki, Ryohei" uniqKey="Sasaki R" first="Ryohei" last="Sasaki">Ryohei Sasaki</name>
<name sortKey="Sugimura, Kazuro" sort="Sugimura, Kazuro" uniqKey="Sugimura K" first="Kazuro" last="Sugimura">Kazuro Sugimura</name>
<name sortKey="Yoshida, Kenji" sort="Yoshida, Kenji" uniqKey="Yoshida K" first="Kenji" last="Yoshida">Kenji Yoshida</name>
<name sortKey="Yoshida, Shigeki" sort="Yoshida, Shigeki" uniqKey="Yoshida S" first="Shigeki" last="Yoshida">Shigeki Yoshida</name>
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<name sortKey="Okamoto, Yoshiaki" sort="Okamoto, Yoshiaki" uniqKey="Okamoto Y" first="Yoshiaki" last="Okamoto">Yoshiaki Okamoto</name>
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