Mapping patterns of nodal metastases in esophageal carcinoma: rethinking the clinical target volume for supraclavicular nodal irradiation
Identifieur interne : 008B93 ( Ncbi/Merge ); précédent : 008B92; suivant : 008B94Mapping patterns of nodal metastases in esophageal carcinoma: rethinking the clinical target volume for supraclavicular nodal irradiation
Auteurs : Yijun Luo [République populaire de Chine] ; Yuhui Liu [République populaire de Chine] ; Xiaoli Wang [République populaire de Chine] ; Bin Zhang [République populaire de Chine] ; Jinming Yu [République populaire de Chine] ; Chengang Wang [République populaire de Chine] ; Yong Huang [République populaire de Chine] ; Minghuan Li [République populaire de Chine]Source :
- Journal of Thoracic Disease [ 2072-1439 ] ; 2016.
Abstract
To map detail distribution of metastatic supraclavicular (SCV) lymph nodes (LN) in esophageal cancer (EC) patients and determine the precise radiation therapy clinical target volume (CTV).
A total of 101 thoracic esophageal carcinoma patients after surgery experienced SCV LN metastasis were retrospectively examined. The SCV region is further divided into four subgroups. Using hand drawings registration, nodes were mapped to a template computed tomogram to provide a visual impression of nodal frequencies and anatomic distribution.
In all, 158 nodes were considered to be clinical metastatic in the SCV region in the 101 patients, 74 on the left and 84 on the right. Seven of 158 (4.4%) positive LN were located in group I, 78 of 158 (49.37%) were located in group II, 72 of 158 nodes (45.6%) were located in group III, 1 of 158 (0.63%) located in group IV.
According to our results, the SCV group II and group III are considered to be the high risk regions of esophageal squamous cell carcinoma (ESCC) LN metastasis, which were defined as elective nodal irradiation (ENI) areas.
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DOI: 10.21037/jtd.2016.11.96
PubMed: 28066592
PubMed Central: 5179466
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of Radiation Oncology and Radiology, Shandong Cancer Hospital Affiliated to Shandong University, Jinan 250117,<country>China</country>;</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Zhang, Bin" sort="Zhang, Bin" uniqKey="Zhang B" first="Bin" last="Zhang">Bin Zhang</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Oncology, the First Affiliated Hospital of Dalian Medical University, Dalian 116001,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Yu, Jinming" sort="Yu, Jinming" uniqKey="Yu J" first="Jinming" last="Yu">Jinming Yu</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Radiation Oncology and Radiology, Shandong Cancer Hospital Affiliated to Shandong 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strict</wicri:regionArea></affiliation></author><author><name sortKey="Huang, Yong" sort="Huang, Yong" uniqKey="Huang Y" first="Yong" last="Huang">Yong Huang</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Radiology, Shandong Cancer Hospital Affiliated to Shandong University, Jinan 250117,<country>China</country>;</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Li, Minghuan" sort="Li, Minghuan" uniqKey="Li M" first="Minghuan" last="Li">Minghuan Li</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Radiation Oncology and Radiology, Shandong Cancer Hospital Affiliated to Shandong University, Jinan 250117,<country>China</country>;</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno 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sortKey="Luo, Yijun" sort="Luo, Yijun" uniqKey="Luo Y" first="Yijun" last="Luo">Yijun Luo</name><affiliation wicri:level="1"><nlm:aff id="aff1">School of Medical and Life Sciences, University of Jinan-Shandong Academy of Medical Sciences, Jinan 250117,<country>China</country>;</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Radiation Oncology and Radiology, Shandong Cancer Hospital Affiliated to Shandong University, Jinan 250117,<country>China</country>;</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Liu, Yuhui" sort="Liu, Yuhui" uniqKey="Liu Y" first="Yuhui" last="Liu">Yuhui Liu</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Radiology, Shandong Cancer Hospital Affiliated to Shandong University, Jinan 250117,<country>China</country>;</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Wang, Xiaoli" sort="Wang, Xiaoli" uniqKey="Wang X" first="Xiaoli" last="Wang">Xiaoli Wang</name><affiliation wicri:level="1"><nlm:aff id="aff1">School of Medical and Life Sciences, University of Jinan-Shandong Academy of Medical Sciences, Jinan 250117,<country>China</country>;</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Radiation Oncology and Radiology, Shandong Cancer Hospital Affiliated to Shandong University, Jinan 250117,<country>China</country>;</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Zhang, Bin" sort="Zhang, Bin" uniqKey="Zhang B" first="Bin" last="Zhang">Bin Zhang</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Oncology, the First Affiliated Hospital of Dalian Medical University, Dalian 116001,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Yu, Jinming" sort="Yu, Jinming" uniqKey="Yu J" first="Jinming" last="Yu">Jinming Yu</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Radiation Oncology and Radiology, Shandong Cancer Hospital Affiliated to Shandong University, Jinan 250117,<country>China</country>;</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Wang, Chengang" sort="Wang, Chengang" uniqKey="Wang C" first="Chengang" last="Wang">Chengang Wang</name><affiliation wicri:level="1"><nlm:aff id="aff1">School of Medical and Life Sciences, University of Jinan-Shandong Academy of Medical Sciences, Jinan 250117,<country>China</country>;</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Radiation Oncology and Radiology, Shandong Cancer Hospital Affiliated to Shandong University, Jinan 250117,<country>China</country>;</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Huang, Yong" sort="Huang, Yong" uniqKey="Huang Y" first="Yong" last="Huang">Yong Huang</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Radiology, Shandong Cancer Hospital Affiliated to Shandong University, Jinan 250117,<country>China</country>;</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Li, Minghuan" sort="Li, Minghuan" uniqKey="Li M" first="Minghuan" last="Li">Minghuan Li</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Radiation Oncology and Radiology, Shandong Cancer Hospital Affiliated to Shandong University, Jinan 250117,<country>China</country>;</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of Thoracic Disease</title><idno type="ISSN">2072-1439</idno><idno type="eISSN">2077-6624</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>To map detail distribution of metastatic supraclavicular (SCV) lymph nodes (LN) in esophageal cancer (EC) patients and determine the precise radiation therapy clinical target volume (CTV).</p></sec><sec><title>Methods</title><p>A total of 101 thoracic esophageal carcinoma patients after surgery experienced SCV LN metastasis were retrospectively examined. The SCV region is further divided into four subgroups. Using hand drawings registration, nodes were mapped to a template computed tomogram to provide a visual impression of nodal frequencies and anatomic distribution.</p></sec><sec><title>Results</title><p>In all, 158 nodes were considered to be clinical metastatic in the SCV region in the 101 patients, 74 on the left and 84 on the right. Seven of 158 (4.4%) positive LN were located in group I, 78 of 158 (49.37%) were located in group II, 72 of 158 nodes (45.6%) were located in group III, 1 of 158 (0.63%) located in group IV.</p></sec><sec><title>Conclusions</title><p>According to our results, the SCV group II and group III are considered to be the high risk regions of esophageal squamous cell carcinoma (ESCC) LN metastasis, which were defined as elective nodal irradiation (ENI) areas.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Thorac Dis</journal-id><journal-id journal-id-type="iso-abbrev">J Thorac Dis</journal-id><journal-id journal-id-type="publisher-id">JTD</journal-id><journal-title-group><journal-title>Journal of Thoracic Disease</journal-title></journal-title-group><issn pub-type="ppub">2072-1439</issn><issn pub-type="epub">2077-6624</issn><publisher><publisher-name>AME Publishing Company</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28066592</article-id><article-id pub-id-type="pmc">5179466</article-id><article-id pub-id-type="publisher-id">jtd-08-11-3132</article-id><article-id pub-id-type="doi">10.21037/jtd.2016.11.96</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Mapping patterns of nodal metastases in esophageal carcinoma: rethinking the clinical target volume for supraclavicular nodal irradiation</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Luo</surname><given-names>Yijun</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Liu</surname><given-names>Yuhui</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Wang</surname><given-names>Xiaoli</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Bin</given-names></name><xref ref-type="aff" rid="aff4"><sup>4</sup></xref></contrib><contrib contrib-type="author"><name><surname>Yu</surname><given-names>Jinming</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Wang</surname><given-names>Chengang</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Huang</surname><given-names>Yong</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Li</surname><given-names>Minghuan</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><aff id="aff1"><label>1</label>School of Medical and Life Sciences, University of Jinan-Shandong Academy of Medical Sciences, Jinan 250117,<country>China</country>;</aff><aff id="aff2"><label>2</label>Department of Radiation Oncology and Radiology, Shandong Cancer Hospital Affiliated to Shandong University, Jinan 250117,<country>China</country>;</aff><aff id="aff3"><label>3</label>Department of Radiology, Shandong Cancer Hospital Affiliated to Shandong University, Jinan 250117,<country>China</country>;</aff><aff id="aff4"><label>4</label>Department of Oncology, the First Affiliated Hospital of Dalian Medical University, Dalian 116001,<country>China</country></aff></contrib-group><author-notes><fn id="afn1"><p><italic>Contributions</italic>: (I) Conception and design: Y Luo, M Li; (II) Administrative support: None; (III) Provision of study materials or patients: Y Liu, Y Huang; (IV) Collection and assembly of data: Y Luo, X Wang, C Wang, B Zhang; (V) Data analysis and interpretation: Y Luo, Y Liu, J Yu; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors.</p></fn><corresp id="cor1"><italic>Correspondence to</italic>: Minghuan Li, M.D., Ph.D. Department of Radiation Oncology, Shandong Cancer Hospital Affiliated to Shandong University, Jiyan Road 440, Jinan 250117, China. Email: <email xlink:href="Sdlmh2014@163.com">Sdlmh2014@163.com</email>.</corresp></author-notes><pub-date pub-type="epub-ppub"><month>11</month><year>2016</year></pub-date><pmc-comment>Fake ppub date generated by PMC from publisher
pub-date/@pub-type='epub-ppub' </pmc-comment>
<pub-date pub-type="ppub"><month>11</month><year>2016</year></pub-date><volume>8</volume><issue>11</issue><fpage>3132</fpage><lpage>3138</lpage><history><date date-type="received"><day>08</day><month>7</month><year>2016</year></date><date date-type="accepted"><day>28</day><month>9</month><year>2016</year></date></history><permissions><copyright-statement>2016 Journal of Thoracic Disease. All rights reserved.</copyright-statement><copyright-year>2016</copyright-year><copyright-holder>Journal of Thoracic Disease.</copyright-holder></permissions><abstract><sec><title>Background</title><p>To map detail distribution of metastatic supraclavicular (SCV) lymph nodes (LN) in esophageal cancer (EC) patients and determine the precise radiation therapy clinical target volume (CTV).</p></sec><sec><title>Methods</title><p>A total of 101 thoracic esophageal carcinoma patients after surgery experienced SCV LN metastasis were retrospectively examined. The SCV region is further divided into four subgroups. Using hand drawings registration, nodes were mapped to a template computed tomogram to provide a visual impression of nodal frequencies and anatomic distribution.</p></sec><sec><title>Results</title><p>In all, 158 nodes were considered to be clinical metastatic in the SCV region in the 101 patients, 74 on the left and 84 on the right. Seven of 158 (4.4%) positive LN were located in group I, 78 of 158 (49.37%) were located in group II, 72 of 158 nodes (45.6%) were located in group III, 1 of 158 (0.63%) located in group IV.</p></sec><sec><title>Conclusions</title><p>According to our results, the SCV group II and group III are considered to be the high risk regions of esophageal squamous cell carcinoma (ESCC) LN metastasis, which were defined as elective nodal irradiation (ENI) areas.</p></sec></abstract><kwd-group kwd-group-type="author"><title>Keywords: </title><kwd>Esophageal cancer (EC)</kwd><kwd>postoperative radiotherapy</kwd><kwd>target volume definition</kwd><kwd>supraclavicular region (SCV region)</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>République populaire de Chine</li></country></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Luo, Yijun" sort="Luo, Yijun" uniqKey="Luo Y" first="Yijun" last="Luo">Yijun Luo</name></noRegion><name sortKey="Huang, Yong" sort="Huang, Yong" uniqKey="Huang Y" first="Yong" last="Huang">Yong Huang</name><name sortKey="Li, Minghuan" sort="Li, Minghuan" uniqKey="Li M" first="Minghuan" last="Li">Minghuan Li</name><name sortKey="Liu, Yuhui" sort="Liu, Yuhui" uniqKey="Liu Y" first="Yuhui" last="Liu">Yuhui Liu</name><name sortKey="Luo, Yijun" sort="Luo, Yijun" uniqKey="Luo Y" first="Yijun" last="Luo">Yijun Luo</name><name sortKey="Wang, Chengang" sort="Wang, Chengang" uniqKey="Wang C" first="Chengang" last="Wang">Chengang Wang</name><name sortKey="Wang, Chengang" sort="Wang, Chengang" uniqKey="Wang C" first="Chengang" last="Wang">Chengang Wang</name><name sortKey="Wang, Xiaoli" sort="Wang, Xiaoli" uniqKey="Wang X" first="Xiaoli" last="Wang">Xiaoli Wang</name><name sortKey="Wang, Xiaoli" sort="Wang, Xiaoli" uniqKey="Wang X" first="Xiaoli" last="Wang">Xiaoli Wang</name><name sortKey="Yu, Jinming" sort="Yu, Jinming" uniqKey="Yu J" first="Jinming" last="Yu">Jinming Yu</name><name sortKey="Zhang, Bin" sort="Zhang, Bin" uniqKey="Zhang B" first="Bin" last="Zhang">Bin Zhang</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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