Impact and relationship of anterior commissure and time-dose factor on the local control of T1N0 glottic cancer treated by 6 MV photons
Identifieur interne : 000483 ( Main/Exploration ); précédent : 000482; suivant : 000484Impact and relationship of anterior commissure and time-dose factor on the local control of T1N0 glottic cancer treated by 6 MV photons
Auteurs : Chi-Chung Tong [Hong Kong] ; Kwok-Hung Au [Hong Kong] ; Roger Kc Ngan [Hong Kong] ; Sin-Ming Chow [Hong Kong] ; Foon-Yiu Cheung [Hong Kong] ; Yiu-Tung Fu [Hong Kong] ; Joseph Sk Au [Hong Kong] ; Stephen Ck Law [Hong Kong]Source :
- Radiation Oncology (London, England) [ 1748-717X ] ; 2011.
Abstract
To evaluate prognostic factors that may influence local control (LC) of T1N0 glottic cancer treated by primary radiotherapy (RT) with 6 MV photons.
We retrospectively reviewed the medical records of 433 consecutive patients with T1N0 glottic cancer treated between 1983 and 2005 by RT in our institution. All patients were treated with 6 MV photons. One hundred and seventy seven (41%) patients received 52.5 Gy in 23 fractions with 2.5 Gy/fraction, and 256 (59%) patients received 66 Gy in 33 fractions with 2 Gy/fraction.
The median follow-up time was 10.5 years. The 10-year LC rates were 91% and 87% for T1a and T1b respectively. Multivariate analysis showed LC rate was adversely affected by poorly differentiated histology (Hazard Ratio [HR]: 7.5,
The negative impact of anterior commissure involvement could be overcome by delivering a higher tumor BED through using fraction size of > 2.0 Gy. We recommend that fraction size > 2.0 Gy should be utilized, for radiation schedules with five daily fractions each week.
Url:
DOI: 10.1186/1748-717X-6-53
PubMed: 21600025
PubMed Central: 3124409
Affiliations:
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<author><name sortKey="Tong, Chi Chung" sort="Tong, Chi Chung" uniqKey="Tong C" first="Chi-Chung" last="Tong">Chi-Chung Tong</name>
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<author><name sortKey="Law, Stephen Ck" sort="Law, Stephen Ck" uniqKey="Law S" first="Stephen Ck" last="Law">Stephen Ck Law</name>
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<series><title level="j">Radiation Oncology (London, England)</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>To evaluate prognostic factors that may influence local control (LC) of T1N0 glottic cancer treated by primary radiotherapy (RT) with 6 MV photons.</p>
</sec>
<sec><title>Methods</title>
<p>We retrospectively reviewed the medical records of 433 consecutive patients with T1N0 glottic cancer treated between 1983 and 2005 by RT in our institution. All patients were treated with 6 MV photons. One hundred and seventy seven (41%) patients received 52.5 Gy in 23 fractions with 2.5 Gy/fraction, and 256 (59%) patients received 66 Gy in 33 fractions with 2 Gy/fraction.</p>
</sec>
<sec><title>Results</title>
<p>The median follow-up time was 10.5 years. The 10-year LC rates were 91% and 87% for T1a and T1b respectively. Multivariate analysis showed LC rate was adversely affected by poorly differentiated histology (Hazard Ratio [HR]: 7.5, <italic>p </italic>
= 0.035); involvement of anterior commissure (HR: 2.34, <italic>p </italic>
= 0.011); fraction size of 2.0 Gy (HR: 2.17, <italic>p </italic>
= 0.035) and tumor biologically effective dose (BED) < 65 Gy<sub>15 </sub>
(HR: 3.38, <italic>p </italic>
= 0.017).</p>
</sec>
<sec><title>Conclusions</title>
<p>The negative impact of anterior commissure involvement could be overcome by delivering a higher tumor BED through using fraction size of > 2.0 Gy. We recommend that fraction size > 2.0 Gy should be utilized, for radiation schedules with five daily fractions each week.</p>
</sec>
</div>
</front>
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<tree><country name="Hong Kong"><noRegion><name sortKey="Tong, Chi Chung" sort="Tong, Chi Chung" uniqKey="Tong C" first="Chi-Chung" last="Tong">Chi-Chung Tong</name>
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<name sortKey="Cheung, Foon Yiu" sort="Cheung, Foon Yiu" uniqKey="Cheung F" first="Foon-Yiu" last="Cheung">Foon-Yiu Cheung</name>
<name sortKey="Chow, Sin Ming" sort="Chow, Sin Ming" uniqKey="Chow S" first="Sin-Ming" last="Chow">Sin-Ming Chow</name>
<name sortKey="Fu, Yiu Tung" sort="Fu, Yiu Tung" uniqKey="Fu Y" first="Yiu-Tung" last="Fu">Yiu-Tung Fu</name>
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