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題 名 | Preoperative Chemoradiotherapy Followed by Surgery in Patients with Locally Advanced Esophageal Squamous Cell Carcinoma: A Single Center Experience in Southern Taiwan=局部晚期食道鱗狀上皮細胞癌病患接受術前化學放射治療合併手術:南臺灣單一醫學中心的經驗 |
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作 者 | 羅乾鳴; 陳彥佑; 陳彥豪; 邱泰然; 黃純真; 王友明; 方富民; 邱逸群; 謝敏暲; 李劭軒; 呂宏益; | 書刊名 | 臺灣癌症醫學雜誌 |
卷 期 | 1:3 2014.12[民103.12] |
頁 次 | 頁208-219 |
分類號 | 416.216 |
關鍵詞 | 食道癌; 鱗狀上皮細胞癌; 術前化學放射治療合併手術; 食道切除手術; 病理完全反應; Esophageal cancer; Squamous cell carcinoma; Preoperative chemoradiotherapy; Esophagectomy; Pathologic complete response; |
語 文 | 英文(English) |
中文摘要 | 目的:局部晚期食道鱗狀上皮細胞癌病患的治療結果極差。近年來,術前化學放射治療 合併手術常被用來試著改善此類病人預後,,我們回溯高雄長庚醫院使用術前化學放射治 療合併手術治療局部晚期食道鱗狀上皮細胞癌病患的臨床經驗並試圖找出可預測病人存 活的臨床病理因子。 方法:我們總共回溯了 101 位在高雄長庚診斷食道鱗狀上皮細胞癌病患並接受術前化學 放射治療合併手術。單變量存活分析及多變量存活分析分別是使用對數等級檢定(log-rank test)及 Cox 比例風險模型。 結果:在 101 位病人中,有 26 位(26%)達到病理完全反應,單變量存活分析顯示臨床 T4 分期及無法達到病理完全反應的病人有較差的整體存活率及無病存活率。三年整體存 活率在臨床 T1~3 分期及臨床 T4 分期的病人分別是 50%及 24% (P= 0.01)。三年整體存活 率在有達到病理完全反應的病人及無法達到病理完全反應的病人分別是 68%及 28% (P= 0.001)。多變量存活分析也發現臨床 T4 分期以及無法達到病理完全反應為較差的整體存 活率及無病存活率的獨立預後因子。 結論:臨床 T4 分期及無法達到病理完全反應明顯地與局部晚期食道鱗狀上皮細胞癌病患 接受術前化學放射治療合併手術後較差的預後相關。 |
英文摘要 | Objective: In general, the typical outcome of patients with locally advanced esophageal squamous cell carcinoma is poor. Recently, attempts have been made to improve survival of patients with esophageal cancer using preoperative chemoradiotherapy followed by surgery. The experience of a single center in Southern Taiwan with esophageal squamous cell carcinoma was reviewed to determine which clinicopathologic variables could predict survival. Methods: One hundred and one patients with diagnosed esophageal squamous cell carcinoma who were treated with preoperative chemoradiotherapy followed by surgery at Kaohsiung Chang Gung Memorial Hospital were retrospectively reviewed. Univariate and multivariate survival analyses were performed using log-rank and Cox proportional hazards models. Results: Of these 101 patients, 26% (26 of 101) achieved a pathologic complete response to treatment. Univariate analysis revealed that clinical T4 disease and absence of pathologic complete response were significantly associated with worse overall survival and disease-free survival. The 3-year overall survival rates were 50% and 24% in patients with clinical T1~3 and T4 disease, respectively (P = 0.01).The 3-year overall survival rates were 68% and 28% in patients with and without pathologic complete response, respectively (P = 0.001). Multivariate analysis also showed that clinical T4 disease and absence of pathologic complete response were independently associated with inferior overall and disease-free survival. Conclusions: Clinical T4 disease and absence of pathologic complete response were associated with significantly worse survival in patients with esophageal squamous cell carcinoma receiving preoperative chemoradiotherapy followed by surgery. |
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