Results of Endocavitary Irradiation of Early Rectal Tumors

At the C. G. F. Leclerc, Dijon, 91 early rectal tumors were treated with intracavitary contact radiotherapy alone or in combination with interstitial brachytherapy. The median age of the patients was 70 years. Most of them were referred because of poor surgical risk. Preservation of the sphincter wa...

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Veröffentlicht in:Acta oncologica 1988, Vol.27 (6), p.825-827
Hauptverfasser: Roth, S. L., Horiot, J. C., Calais, G., Nabid, A., Bone, M. C.
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container_end_page 827
container_issue 6
container_start_page 825
container_title Acta oncologica
container_volume 27
creator Roth, S. L.
Horiot, J. C.
Calais, G.
Nabid, A.
Bone, M. C.
description At the C. G. F. Leclerc, Dijon, 91 early rectal tumors were treated with intracavitary contact radiotherapy alone or in combination with interstitial brachytherapy. The median age of the patients was 70 years. Most of them were referred because of poor surgical risk. Preservation of the sphincter was obtained in 85% (77/91). The actuarial local relapse-free survival rate at 5 years was 74% (67/91). No significant difference was seen between the 72 adenocarcinomas and 19 villous adenomas (p=0.12). For the middle rectum the rate was 94% compared to 54% for the upper and 77% for the lower rectum. Anterior primaries fared better than posterior and lateral tumors (100%, 63%, and 67% respectively). After salvage therapy the local control rate raised to 91% (83/91). The clinical and endoscopic staging system of Dijon was of prognostic significance: T1A adenocarcinomas (purely exophytic tumors of less than 3 cm) had a better 5-year local relapse-free survival rate (97%) than T2A, T1B or T2B (p < 5.01).
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source MEDLINE; Taylor & Francis Journals Complete; EZB Electronic Journals Library
subjects Adenocarcinoma - radiotherapy
Adenoma - radiotherapy
Adult
Aged
Aged, 80 and over
Brachytherapy
Female
Humans
Male
Middle Aged
Neoplasm Staging
Prognosis
Rectal Neoplasms - mortality
Rectal Neoplasms - pathology
Rectal Neoplasms - radiotherapy
title Results of Endocavitary Irradiation of Early Rectal Tumors
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