Radiochemotherapy for esophageal squamous cell carcinoma in elderly patients

Autor: Ken, Hagiwara, Mitsugu, Kochi, Masashi, Fujii, Keio, Song, Hidenori, Tamegai, Megumu, Watanabe, Yuriko, Takayama, Hiroshi, Suda, Youichi, Teshima, Tadatoshi, Takayama
Rok vydání: 2014
Předmět:
Zdroj: Hepato-gastroenterology. 61(134)
ISSN: 0172-6390
Popis: The goal of this retrospective study was to investigate the efficacy and safety of curative radiochemotherapy (CRT) in elderly patients with esophageal squamous cell cancer (SCC).Between 1986 and 2011, 38 consecutive patients aged over 75 years with esophageal SCC were initially treated with a CRT regimen comprising radiation therapy at a dose of 60 Gy and two cycles of chemotherapy with 5-fluorouracil/cisplatin.Fourteen patients were aged over 80 and 24 under 79 years. Complete treatment compliance was obtained in 30 (78.9%) of the patients. Chemotherapy was terminated and the dose of radiation reduced in 7 and 1 patients, respectively. The overall incidence of CRT-related complications was 86.8% (33 patients). Grade 3 leukocytopenia was observed in 6 (15.8%) patients, all of whom recovered promptly. A complete response was observed in 17 patients (44.7%). The overall 3-year survival rate was 32.0%.Curative CRT is safe and may improve overall and progression-free 3-year survival rates in elderly patients aged more than 75 years with esophageal SCC.
Databáze: OpenAIRE