COMBINED RADIOCHEMOTHERAPY FOR POSTOPERATIVE RECURRENCE OF ESOPHAGEAL CANCER

COMBINED RADIOCHEMOTHERAPY FOR POSTOPERATIVE RECURRENCE OF ESOPHAGEAL CANCER
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DOI:
10.1136/gut.37.2.174
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发表时间:
1995-08-01
期刊:
GUT
影响因子:
24.5
通讯作者:
LAUNOIS, B
LAUNOIS, B
中科院分区:
医学1区
文献类型:
--
作者:
RAOUL, JL;LEPRISE, E;LAUNOIS, B

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食管癌术后复发是常见的。从1986年1月至1993年9月,31例患者(男性30例,女性1例,平均(SD)年龄:57.5(8.8)岁)在初次手术后15.0(12.6)个月发生局部复发(n = 24)、转移(n = 6)或两者兼有(n = 1)。所有病例均采用放化疗联合治疗。症状改善23例(74%),持续时间6.3(4)个月(不包括治疗期)。20例(65%)患者出现肿瘤缓解,其中8例(26%)完全缓解。6个月、1年、2年、3年生存率分别为70.7%、47.1%、17.1%、4.3%。综上所述,这些结果表明,联合治疗可对食管癌术后复发患者产生有益的症状效果,并可延长患者的生存期。
Postoperative recurrences are common after resection for oesophageal cancer. From January 1986 to September 1993 31 patients (30 males, one female, mean (SD) age: 57.5 (8.8) years) were treated for locoregional recurrence (n = 24), metastases (n = 6) or both (n = 1) occurring 15.0 (12.6) months after initial surgery. Radiotherapy and chemotherapy were combined in all cases. Symptomatic improvement was seen in 23 cases (74%) and lasted (excluding treatment period) for 6.3 (4) months. Objective tumoral response was seen in 20 patients (65%) including eight (26%) complete responses. Survival rates were at respectively six months, one, two, and three gears: 70.7%, 47.1%, 17.1%, 4.3%. In conclusion, these results show that combined therapy could have a beneficial symptomatic effect and can be associated with prolonged survival in patients with postoperative recurrences of oesophageal cancer.