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- Title
Preoperativna hemio-radioterapija u lečenju lokalno uznapredovalog karcinoma jednjaka.
- Authors
Radošević-Jelić, Ljiljana; Stanković, V.; Josifovski, T.; Nikolić, V.; Popov, I.; Peško, P.
- Abstract
Preoperative or definitive chemoradiotherapy defines today the standard treatment of patients with localized or locally advanced esophageal cancer. Preliminary results of our study are presented. 46 patients with locally advanced squamous cell esophageal cancer (T3-4, N0-1, M0) were enrolled. All patients recieved concomitant chemotherapy (Cisplatin/ 5FU/LV) and radiotherapy (45-50,4Gy). Clinical response rate was 59% (3 patients (7%) complete response, 24 patients (52%) partial regression, 13 (28%) stabile disease, 6 patients (13%) disease progression). Out of 46 patients, 12 were operated (26%), all with R0 resection. Complete patohistolgical regression (TRG 1) was noted in 5 patients (42%). TRG 2 i TRG 3 in one (8%) and 3 patients (25%), and TRG 4 in 3 patients (25%). Mean survival time in operated group of patients was 9,3 months, and in nonoperated group 5,5 months. Studies show improved survival rate in patients with complete response to chemoradiotherapy and R0 resection. Individualy tailored therapy is essential.
- Subjects
TREATMENT of esophageal cancer; CANCER treatment; HOSPITAL radiological services; MEDICAL radiology; CLINICAL medicine; MEDICAL electronics
- Publication
Acta Chirurgica Iugoslavica, 2009, Vol 56, Issue 4, p83
- ISSN
0354-950X
- Publication type
Article
- DOI
10.2298/ACI0904083R