Academic Journal
Treatment outcomes of proton or carbon ion therapy for skull base chordoma: a retrospective study
العنوان: | Treatment outcomes of proton or carbon ion therapy for skull base chordoma: a retrospective study |
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المؤلفون: | Masaru Takagi, Yusuke Demizu, Fumiko Nagano, Kazuki Terashima, Osamu Fujii, Dongcun Jin, Masayuki Mima, Yasue Niwa, Kuniaki Katsui, Masaki Suga, Tomohiro Yamashita, Takashi Akagi, Koh-ichi Sakata, Nobukazu Fuwa, Tomoaki Okimoto |
المصدر: | Radiation Oncology, Vol 13, Iss 1, Pp 1-9 (2018) |
بيانات النشر: | BMC, 2018. |
سنة النشر: | 2018 |
المجموعة: | LCC:Medical physics. Medical radiology. Nuclear medicine LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens |
مصطلحات موضوعية: | Skull base chordoma, Proton therapy, Carbon ion therapy, Radiotherapy, Surgery, Local control, Medical physics. Medical radiology. Nuclear medicine, R895-920, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282 |
الوصف: | Abstract Background The usefulness of particle therapy for skull base chordoma has not been established. The aim of this retrospective study was to analyse the treatment outcomes of proton therapy (PT) and carbon ion therapy (CIT) in patients with skull base chordoma at a single institution. Methods All patients who underwent PT or CIT with curative intent between 2003 and 2014 at Hyogo Ion Beam Medical Center were included in this study. Twenty-four patients were enrolled. Eleven (46%) received PT and 13 (54%) received CIT. Overall survival (OS), progression-free survival (PFS) and local control (LC) were calculated using the Kaplan–Meier method. Late toxicities were evaluated according to the Common Terminology Criteria for Adverse Events version 4.0. Results The median follow-up was 71.5 months (range, 14–175 months). The five-year LC, PFS and OS rates were 85, 81, and 86%, respectively. The LC (P = 0.048), PFS (P = 0.028) and OS (P = 0.012) were significantly improved in patients who had undergone surgery before particle therapy. No significant differences were observed in the LC rate and the incidence of grade 2 or higher late toxicities between patients who received PT and CIT. Conclusions Both PT and CIT appear to be effective and safe treatments and show potential to become the standard treatments for skull base chordoma. To increase the local control, surgery before particle therapy is preferable. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 1748-717X |
Relation: | http://link.springer.com/article/10.1186/s13014-018-1173-0; https://doaj.org/toc/1748-717X |
DOI: | 10.1186/s13014-018-1173-0 |
URL الوصول: | https://doaj.org/article/b8acb7230c6443a1b5bc9a7e6913b8ca |
رقم الانضمام: | edsdoj.b8acb7230c6443a1b5bc9a7e6913b8ca |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 1748717X |
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DOI: | 10.1186/s13014-018-1173-0 |