Value of external irradiation for locally advanced papillary thyroid cancer

To look for the possible efficacy of external beam irradiation (EBRT) for locally advanced papillary thyroid cancers Between August 1981 and September 1997, 91 patients with locally advanced papillary thyroid cancers (pathologic Stage T4 or N1) were treated with surgical resection. After surgery, 23...

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Veröffentlicht in:International journal of radiation oncology, biology, physics biology, physics, 2003-03, Vol.55 (4), p.1006-1012
Hauptverfasser: Kim, Tae-Hyun, Yang, Dae-Sik, Jung, Kwang-Yoon, Kim, Chul-Yong, Choi, Myung-Sun
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container_issue 4
container_start_page 1006
container_title International journal of radiation oncology, biology, physics
container_volume 55
creator Kim, Tae-Hyun
Yang, Dae-Sik
Jung, Kwang-Yoon
Kim, Chul-Yong
Choi, Myung-Sun
description To look for the possible efficacy of external beam irradiation (EBRT) for locally advanced papillary thyroid cancers Between August 1981 and September 1997, 91 patients with locally advanced papillary thyroid cancers (pathologic Stage T4 or N1) were treated with surgical resection. After surgery, 23 patients received postoperative EBRT with or without ablative radioiodine therapy, and 68 patients were treated with ablative radioiodine therapy alone. The distribution of age, gender, and stage was comparable in both groups. The overall survival rates at 7 years were not significantly different statistically between the two groups at 98.1% for the no-EBRT group and 90% for the EBRT group ( p = 0.506). The locoregional control rates at 5 years were significantly different (EBRT 95.2% and no EBRT 67.5%; p = 0.0408). Analysis of the prognostic factors, age, gender, stage, and use of radioiodine ablative therapy, indicated these were not significant variables, except for EBRT. Adjuvant postoperative EBRT did not affect overall survival, but significantly improved locoregional control in patients with locally advanced papillary thyroid cancer (Stage pT4 or lymph node involvement).
doi_str_mv 10.1016/S0360-3016(02)04203-7
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source MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects Adolescent
Adult
Analysis of Variance
Biological and medical sciences
Carcinoma, Papillary - radiotherapy
Carcinoma, Papillary - secondary
Carcinoma, Papillary - surgery
Combined Modality Therapy
External beam radiotherapy
Female
Humans
Locoregional control
Lymph Node Excision
Male
Medical sciences
Middle Aged
Neck
Neoplasm Staging
Papillary thyroid carcinoma
Postoperative Complications
Prognosis
Survival Rate
Thyroid Neoplasms - pathology
Thyroid Neoplasms - radiotherapy
Thyroid Neoplasms - surgery
Thyroidectomy - methods
title Value of external irradiation for locally advanced papillary thyroid cancer
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