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자료유형
학술저널
저자정보
Kim, Young Suk (Department of Radiation Oncology, Yonsei University Health System, Yonsei University College of Medicine) Lee, Chang Geol (Department of Radiation Oncology, Yonsei University Health System, Yonsei University College of Medicine) Kim, Kyung Hwan (Department of Radiation Oncology, Yonsei University Health System, Yonsei University College of Medicine) Kim, Taehyung (Department of Radiation Oncology, Yonsei University Health System, Yonsei University College of Medicine) Lee, Joohwan (Department of Radiation Oncology, Yonsei University Health System, Yonsei University College of Medicine) Cho, Yona (Department of Radiation Oncology, Yonsei University Health System, Yonsei University College of Medicine) Koom, Woong Sub (Department of Radiation Oncology, Yonsei University Health System, Yonsei University College of Medicine)
저널정보
대한방사선종양학회 Radiation oncology journal : ROJ Radiation oncology journal : ROJ 제30권 제4호
발행연도
2012.1
수록면
182 - 188 (7page)

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Purpose: For recurrent esophageal cancer after primary definitive radiotherapy, no general treatment guidelines are available. We evaluated the toxicities and clinical outcomes of re-irradiation (re-RT) for recurrent esophageal cancer. Materials and Methods: We analyzed 10 patients with recurrent esophageal cancer treated with re-RT after primary definitive radiotherapy. The median time interval between primary radiotherapy and re-RT was 15.6 months (range, 4.8 to 36.4 months). The total dose of primary radiotherapy was a median of 50.4 Gy (range, 50.4 to 63.0 Gy). The total dose of re-RT was a median of 46.5 Gy (range, 44.0 to 50.4 Gy). Results: The median follow-up period was 4.9 months (range, 2.6 to 11.4 months). The tumor response at 3 months after the end of re-RT was complete response (n = 2), partial response (n = 1), stable disease (n = 2), and progressive disease (n = 5). Grade 5 tracheoesophageal fistula developed in three patients. The time interval between primary radiotherapy and re-RT was less than 12 months in two of these three patients. Late toxicities included grade 1 dysphagia (n = 1). Conclusion: Re-RT of recurrent esophageal cancer after primary radiotherapy can cause severe toxicity.

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