Preoperative Radiotherapy Improves Outcome in Recurrent Rectal Cancer

PURPOSE: METHODS: RESULTS:The median follow-up of patients alive for the total group was 16 (range, 4-156) months. Tumor characteristics were comparable between the two groups. Complete resections were performed in 64 percent of the patients who received preoperative radiation and 45 percent of the...

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Veröffentlicht in:Diseases of the colon & rectum 2005-05, Vol.48 (5), p.918-928
Hauptverfasser: Vermaas, Maarten, Ferenschild, Floris T. J, Nuyttens, Joost J. M. E, Marinelli, Andreas W. K. S, Wiggers, Theo, van der Sijp, Joost R. M. M, Verhoef, Cornelis, Graveland, Wilfried J, Eggermont, Alexander M. M, de Wilt, Johannes H. W
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container_end_page 928
container_issue 5
container_start_page 918
container_title Diseases of the colon & rectum
container_volume 48
creator Vermaas, Maarten
Ferenschild, Floris T. J
Nuyttens, Joost J. M. E
Marinelli, Andreas W. K. S
Wiggers, Theo
van der Sijp, Joost R. M. M
Verhoef, Cornelis
Graveland, Wilfried J
Eggermont, Alexander M. M
de Wilt, Johannes H. W
description PURPOSE: METHODS: RESULTS:The median follow-up of patients alive for the total group was 16 (range, 4-156) months. Tumor characteristics were comparable between the two groups. Complete resections were performed in 64 percent of the patients who received preoperative radiation and 45 percent of the nonirradiated patients. A complete response after radiotherapy was found in 10 percent of the preoperative irradiated patients (n = 6). There were no differences in morbidity and reintervention rate between the two groups. Local control after preoperative radiotherapy was statistically significantly higher after three and five years (P = 0.036). Overall survival and metastases-free survival were not different in both groups. Complete response to preoperative radiotherapy was predictive for an improved survival. CONCLUSIONS:
doi_str_mv 10.1007/s10350-004-0891-6
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J ; Nuyttens, Joost J. M. E ; Marinelli, Andreas W. K. S ; Wiggers, Theo ; van der Sijp, Joost R. M. M ; Verhoef, Cornelis ; Graveland, Wilfried J ; Eggermont, Alexander M. M ; de Wilt, Johannes H. W</creator><creatorcontrib>Vermaas, Maarten ; Ferenschild, Floris T. J ; Nuyttens, Joost J. M. E ; Marinelli, Andreas W. K. S ; Wiggers, Theo ; van der Sijp, Joost R. M. M ; Verhoef, Cornelis ; Graveland, Wilfried J ; Eggermont, Alexander M. M ; de Wilt, Johannes H. W</creatorcontrib><description>PURPOSE: METHODS: RESULTS:The median follow-up of patients alive for the total group was 16 (range, 4-156) months. Tumor characteristics were comparable between the two groups. Complete resections were performed in 64 percent of the patients who received preoperative radiation and 45 percent of the nonirradiated patients. A complete response after radiotherapy was found in 10 percent of the preoperative irradiated patients (n = 6). There were no differences in morbidity and reintervention rate between the two groups. Local control after preoperative radiotherapy was statistically significantly higher after three and five years (P = 0.036). Overall survival and metastases-free survival were not different in both groups. Complete response to preoperative radiotherapy was predictive for an improved survival. CONCLUSIONS:</description><identifier>ISSN: 0012-3706</identifier><identifier>EISSN: 1530-0358</identifier><identifier>DOI: 10.1007/s10350-004-0891-6</identifier><identifier>PMID: 15785886</identifier><identifier>CODEN: DICRAG</identifier><language>eng</language><publisher>Secaucus, NJ: The ASCRS</publisher><subject>Aged ; Biological and medical sciences ; Combined Modality Therapy ; Female ; Gastroenterology. Liver. Pancreas. 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ispartof Diseases of the colon & rectum, 2005-05, Vol.48 (5), p.918-928
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source MEDLINE; Springer Nature - Complete Springer Journals; Journals@Ovid Complete
subjects Aged
Biological and medical sciences
Combined Modality Therapy
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Male
Medical sciences
Middle Aged
Neoplasm Recurrence, Local - pathology
Neoplasm Recurrence, Local - radiotherapy
Neoplasm Recurrence, Local - surgery
Preoperative Care
Prognosis
Proportional Hazards Models
Prospective Studies
Radiotherapy Dosage
Radiotherapy, Adjuvant
Rectal Neoplasms - pathology
Rectal Neoplasms - radiotherapy
Rectal Neoplasms - surgery
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Survival Analysis
Treatment Outcome
Tumors
title Preoperative Radiotherapy Improves Outcome in Recurrent Rectal Cancer
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