Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2009-1-7
pubmed:abstractText
This retrospective study was conducted to compare the treatment results between radical surgery and definitive chemoradiotherapy for resectable squamous cell carcinoma of the esophagus. Between June 2000 and May 2005, 82 consecutive patients were selected for this study in which 33 were treated with chemoradiotherapy and 49 with surgery. The patients in the chemoradiotherapy (CRT) group received 2-4 cycles of 5-fluorouracil (1000 mg/m(2)/day, day 1-4, continuous) combined with cisplatin (75 mg/m(2), day 1, bolus) plus 50.4 Gy of radiation, while those in the surgery group were treated by an esophagectomy with radical node dissection. Eighteen surgical patients received postoperative chemotherapy. The baseline clinical TNM stage was similar between the two groups. With a median follow-up period of 36 months (range: 23-84 months) with 47 survivors (57%), the 3-year overall survival rates (P = 0.22) and disease-free survival rates (P = 0.16) were 48% and 44% in the chemoradiotherapy group versus 65% and 59% in the surgery group, and lacked statistical significance. This non-randomized study on patients with resectable squamous cell carcinoma of the esophagus showed that chemoradiotherapy could result in survival comparable with conventional surgery in spite of selection bias of patients. There is a trend toward improved survival with surgery versus definitive CRT.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
1442-2050
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
21
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
430-6
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:19125797-Aged, pubmed-meshheading:19125797-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:19125797-Carcinoma, Squamous Cell, pubmed-meshheading:19125797-Chemotherapy, Adjuvant, pubmed-meshheading:19125797-Combined Modality Therapy, pubmed-meshheading:19125797-Dose Fractionation, pubmed-meshheading:19125797-Esophageal Neoplasms, pubmed-meshheading:19125797-Esophagectomy, pubmed-meshheading:19125797-Female, pubmed-meshheading:19125797-Follow-Up Studies, pubmed-meshheading:19125797-Humans, pubmed-meshheading:19125797-Japan, pubmed-meshheading:19125797-Kaplan-Meier Estimate, pubmed-meshheading:19125797-Male, pubmed-meshheading:19125797-Middle Aged, pubmed-meshheading:19125797-Neoplasm Recurrence, Local, pubmed-meshheading:19125797-Neoplasm Staging, pubmed-meshheading:19125797-Probability, pubmed-meshheading:19125797-Retrospective Studies, pubmed-meshheading:19125797-Risk Assessment, pubmed-meshheading:19125797-Sensitivity and Specificity, pubmed-meshheading:19125797-Survival Analysis, pubmed-meshheading:19125797-Treatment Outcome
pubmed:year
2008
pubmed:articleTitle
A single institutional non-randomized retrospective comparison between definitive chemoradiotherapy and radical surgery in 82 Japanese patients with resectable esophageal squamous cell carcinoma.
pubmed:affiliation
Department of Radiology, University of Tokyo Hospital, Bunkyo-ku, Tokyo, Japan. yamachan07291973@yahoo.co.jp
pubmed:publicationType
Journal Article, Comparative Study