A prospective study of proton reirradiation for recurrent and secondary soft tissue sarcoma.
Identifieur interne : 009268 ( Ncbi/Merge ); précédent : 009267; suivant : 009269A prospective study of proton reirradiation for recurrent and secondary soft tissue sarcoma.
Auteurs : David M. Guttmann [États-Unis] ; Melissa A. Frick [États-Unis] ; Ruben Carmona [États-Unis] ; Curtiland Deville [États-Unis] ; William P. Levin [États-Unis] ; Abigail T. Berman [États-Unis] ; Chidambaram Chinniah [États-Unis] ; Stephen M. Hahn [États-Unis] ; John P. Plastaras [États-Unis] ; Charles B. Simone [États-Unis]Source :
- Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology [ 1879-0887 ] ; 2017.
Abstract
Proton reirradiation for sarcoma has not been previously described. We hypothesized that this strategy would provide favorable toxicity and survival outcomes.
DOI: 10.1016/j.radonc.2017.06.024
PubMed: 28697854
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Berman</name><affiliation wicri:level="3"><nlm:affiliation>Department of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, United States.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia</wicri:regionArea><placeName><settlement type="city">Philadelphie</settlement><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Chinniah, Chidambaram" sort="Chinniah, Chidambaram" uniqKey="Chinniah C" first="Chidambaram" last="Chinniah">Chidambaram Chinniah</name><affiliation wicri:level="3"><nlm:affiliation>Department of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, United States.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia</wicri:regionArea><placeName><settlement type="city">Philadelphie</settlement><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Hahn, Stephen M" sort="Hahn, Stephen M" uniqKey="Hahn S" first="Stephen M" last="Hahn">Stephen M. Hahn</name><affiliation wicri:level="1"><nlm:affiliation>Division of Radiation Oncology, MD Anderson Cancer Center, Houston, United States.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Radiation Oncology, MD Anderson Cancer Center, Houston</wicri:regionArea><wicri:noRegion>Houston</wicri:noRegion></affiliation></author><author><name sortKey="Plastaras, John P" sort="Plastaras, John P" uniqKey="Plastaras J" first="John P" last="Plastaras">John P. Plastaras</name><affiliation wicri:level="3"><nlm:affiliation>Department of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, United States.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia</wicri:regionArea><placeName><settlement type="city">Philadelphie</settlement><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Simone, Charles B" sort="Simone, Charles B" uniqKey="Simone C" first="Charles B" last="Simone">Charles B. Simone</name><affiliation wicri:level="3"><nlm:affiliation>Department of Radiation Oncology, University of Maryland Medical Center, Baltimore, United States.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, University of Maryland Medical Center, Baltimore</wicri:regionArea><placeName><settlement type="city">Baltimore</settlement><region type="state">Maryland</region></placeName></affiliation></author></analytic><series><title level="j">Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology</title><idno type="eISSN">1879-0887</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Proton reirradiation for sarcoma has not been previously described. We hypothesized that this strategy would provide favorable toxicity and survival outcomes.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">28697854</PMID><DateCreated><Year>2017</Year><Month>07</Month><Day>12</Day></DateCreated><DateRevised><Year>2017</Year><Month>08</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-0887</ISSN><JournalIssue CitedMedium="Internet"><Volume>124</Volume><Issue>2</Issue><PubDate><Year>2017</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology</Title><ISOAbbreviation>Radiother Oncol</ISOAbbreviation></Journal><ArticleTitle>A prospective study of proton reirradiation for recurrent and secondary soft tissue sarcoma.</ArticleTitle><Pagination><MedlinePgn>271-276</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0167-8140(17)32444-1</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.radonc.2017.06.024</ELocationID><Abstract><AbstractText Label="BACKGROUND AND PURPOSE" NlmCategory="OBJECTIVE">Proton reirradiation for sarcoma has not been previously described. We hypothesized that this strategy would provide favorable toxicity and survival outcomes.</AbstractText><AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">Patients with soft tissue sarcoma in a previously-irradiated field were enrolled on a prospective trial of proton reirradiation. The primary endpoint was provider-reported acute toxicity. Secondary endpoints included late toxicities, local control, and overall survival.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">23 patients underwent proton reirradiation. Median time between radiation courses was 40.7months (range 10-272). No grade 4-5 toxicities were observed. One patient (4%) experienced acute grade 3 dysphagia. Common grade 2 acute toxicities were fatigue (26%), anorexia (17%), and urinary incontinence (13%). There were two grade 3 late wound infections (10%) and one grade 3 late wound complication (5%). Grade 2 late complications included lymphedema (10%), fracture (5%), and fibrosis (5%). At a median follow-up of 36months, the 3-year cumulative incidence of local failure was 41% (95% CI [20-63%]). Median overall survival and progression-free survival were 44 and 29months, respectively. In extremity patients, amputation was spared in 7/10 (70%).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Proton reirradiation of recurrent/secondary soft tissue sarcomas is well tolerated. While longer follow-up is needed, early survival outcomes in this high-risk population are encouraging.</AbstractText><CopyrightInformation>Copyright © 2017 Elsevier B.V. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Guttmann</LastName><ForeName>David M</ForeName><Initials>DM</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, United States. Electronic address: david.guttmann@uphs.upenn.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Frick</LastName><ForeName>Melissa A</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Carmona</LastName><ForeName>Ruben</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Deville</LastName><ForeName>Curtiland</ForeName><Initials>C</Initials><Suffix>Jr</Suffix><AffiliationInfo><Affiliation>Department of Radiation Oncology and Molecular Sciences, Johns Hopkins University School of Medicine, Baltimore, United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Levin</LastName><ForeName>William P</ForeName><Initials>WP</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Berman</LastName><ForeName>Abigail T</ForeName><Initials>AT</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chinniah</LastName><ForeName>Chidambaram</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hahn</LastName><ForeName>Stephen M</ForeName><Initials>SM</Initials><AffiliationInfo><Affiliation>Division of Radiation Oncology, MD Anderson Cancer Center, Houston, United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Plastaras</LastName><ForeName>John P</ForeName><Initials>JP</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Simone</LastName><ForeName>Charles B</ForeName><Initials>CB</Initials><Suffix>Nd</Suffix><AffiliationInfo><Affiliation>Department of Radiation Oncology, University of Maryland Medical Center, Baltimore, United States.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>07</Month><Day>08</Day></ArticleDate></Article><MedlineJournalInfo><Country>Ireland</Country><MedlineTA>Radiother Oncol</MedlineTA><NlmUniqueID>8407192</NlmUniqueID><ISSNLinking>0167-8140</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Proton therapy</Keyword><Keyword MajorTopicYN="N">Reirradiation</Keyword><Keyword MajorTopicYN="N">Sarcoma</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>04</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2017</Year><Month>06</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>06</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>7</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>7</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>7</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28697854</ArticleId><ArticleId IdType="pii">S0167-8140(17)32444-1</ArticleId><ArticleId IdType="doi">10.1016/j.radonc.2017.06.024</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Maryland</li><li>Pennsylvanie</li></region><settlement><li>Baltimore</li><li>Philadelphie</li></settlement></list><tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Guttmann, David M" sort="Guttmann, David M" uniqKey="Guttmann D" first="David M" last="Guttmann">David M. 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Levin</name><name sortKey="Plastaras, John P" sort="Plastaras, John P" uniqKey="Plastaras J" first="John P" last="Plastaras">John P. Plastaras</name><name sortKey="Simone, Charles B" sort="Simone, Charles B" uniqKey="Simone C" first="Charles B" last="Simone">Charles B. Simone</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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