論文

査読有り 国際誌
2019年6月

Docetaxel, cisplatin, and 5-fluorouracil combination chemoradiotherapy for patients with cervical esophageal cancer: a single-center retrospective study.

Cancer chemotherapy and pharmacology
  • Makoto Sakai
  • Makoto Sohda
  • Hideyuki Saito
  • Kengo Kuriyama
  • Tomonori Yoshida
  • Yuji Kumakura
  • Keigo Hara
  • Takehiko Yokobori
  • Tatsuya Miyazaki
  • Kazutoshi Murata
  • Shin-Ei Noda
  • Takashi Nakano
  • Hiroyuki Kuwano
  • Ken Shirabe
  • 全て表示

83
6
開始ページ
1121
終了ページ
1126
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s00280-019-03835-0

BACKGROUND: To evaluate the efficacy of docetaxel, cisplatin, and 5-fluorouracil as combination chemoradiotherapy (DCF-RT) for cervical esophageal cancer (CEC), we performed a retrospective analysis of CEC patients treated by DCF-RT at a single institution. METHODS: We conducted a single-center retrospective study. Twenty-one patients with CEC who underwent DCF-RT between 1999 and 2017 at our institute were included in this study. Chemotherapy consisted of intravenous docetaxel at 50 mg/m2 on day 1, intravenous CDDP at 60 mg/m2 on day 1, and intravenous 5-FU at 600 mg/m2 on days 1-4, repeated every 4 weeks for two cycles. Among the 21 patients, six were irradiated using three-dimensional conformal RT (3D- conformal RT) and 15 were treated using intensity-modulated RT (IMRT) consisting of 60 Gy in 30 fractions. RESULTS: The median follow-up period was 49.6 months (range 4.6-97.6). The overall complete response (CR) and local CR rates were 61.9% and 81.0% for all patients, and 76.9% and 84.6% for patients without hypopharyngeal and/or thoracic esophageal invasion, respectively. The 3-year overall survival (OS), progression-free survival (PFS), and local failure-free survival (LFFS) rates were 79.6, 52.4, and 74.7%, respectively. Grade 3-4 leucopenia developed in 12 patients (70.6%), neutropenia developed in 13 patients (81.2%), and mucositis developed in 2 patients (9.5%). There were no treatment-related deaths. CONCLUSIONS: The 3-year OS and LFFS of patients who underwent DCF-RT were higher than those in the previous studies. Although the high rate of myelosuppression requires careful management, DCF-RT is a safe and effective modality for CEC.

リンク情報
DOI
https://doi.org/10.1007/s00280-019-03835-0
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/30972455
ID情報
  • DOI : 10.1007/s00280-019-03835-0
  • ISSN : 0344-5704
  • PubMed ID : 30972455

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