Adjuvant postoperative radiotherapy for colon carcinoma

BACKGROUND The objective of this report was to review the role of adjuvant postoperative radiotherapy (RT) for patients with adenocarcinoma of the colon. METHODS The authors reviewed the pertinent literature. RESULTS Data suggested that locoregional postoperative RT improves both local control and s...

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Veröffentlicht in:Cancer 2004-09, Vol.101 (6), p.1338-1344
Hauptverfasser: Mendenhall, William M., Amos, E. Henry, Rout, W. Robert, Zlotecki, Robert A., Hochwald, Steven N., Cance, William G.
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container_end_page 1344
container_issue 6
container_start_page 1338
container_title Cancer
container_volume 101
creator Mendenhall, William M.
Amos, E. Henry
Rout, W. Robert
Zlotecki, Robert A.
Hochwald, Steven N.
Cance, William G.
description BACKGROUND The objective of this report was to review the role of adjuvant postoperative radiotherapy (RT) for patients with adenocarcinoma of the colon. METHODS The authors reviewed the pertinent literature. RESULTS Data suggested that locoregional postoperative RT improves both local control and survival for patients with T4N0–N1 tumors. There also may be a benefit for patients with T3N1–N2 tumors, but the data were equivocal. Whole abdominal RT may result in a similar benefit but is associated with increased toxicity. CONCLUSIONS Postoperative RT should be considered for patients with T4N0–N1 colon carcinoma. Locoregional fields should be used. Cancer 2004. © 2004 American Cancer Society. Adjuvant postoperative radiotherapy probably improves locoregional control and survival for patients with T4 colon carcinoma. The benefit for patients with T3N1–N2 disease is equivocal.
doi_str_mv 10.1002/cncr.20526
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Henry ; Rout, W. Robert ; Zlotecki, Robert A. ; Hochwald, Steven N. ; Cance, William G.</creator><creatorcontrib>Mendenhall, William M. ; Amos, E. Henry ; Rout, W. Robert ; Zlotecki, Robert A. ; Hochwald, Steven N. ; Cance, William G.</creatorcontrib><description>BACKGROUND The objective of this report was to review the role of adjuvant postoperative radiotherapy (RT) for patients with adenocarcinoma of the colon. METHODS The authors reviewed the pertinent literature. RESULTS Data suggested that locoregional postoperative RT improves both local control and survival for patients with T4N0–N1 tumors. There also may be a benefit for patients with T3N1–N2 tumors, but the data were equivocal. Whole abdominal RT may result in a similar benefit but is associated with increased toxicity. CONCLUSIONS Postoperative RT should be considered for patients with T4N0–N1 colon carcinoma. Locoregional fields should be used. Cancer 2004. © 2004 American Cancer Society. 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subjects Adenocarcinoma - radiotherapy
Adenocarcinoma - surgery
Biological and medical sciences
chemotherapy
colon carcinoma
Colonic Neoplasms - radiotherapy
Colonic Neoplasms - surgery
Combined Modality Therapy
Disease-Free Survival
Humans
Lymphatic Metastasis
Medical sciences
Postoperative Period
radiotherapy
Radiotherapy, Adjuvant
Treatment Outcome
treatment outcomes
Tumors
title Adjuvant postoperative radiotherapy for colon carcinoma
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