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서지반출
Outcomes of stereotactic body radiotherapy for unresectable primary or recurrent cholangiocarcinoma
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  • Outcomes of stereotactic body radiotherapy for unresectable primary or recurrent cholangiocarcinoma
  • Outcomes of stereotactic body radiotherapy for unresectable primary or recurrent cholangiocarcinoma
저자명
Jung. Da Hoon,Kim. Mi-Sook,Cho. Chul Koo,Yoo. Hyung Jun,Jang. Won Il,Seo. Young Seok,Paik. Eun Kyung,Kim. Kum Bae,Han. Chul Ju,K
간행물명
Radiation oncology journal : ROJ
권/호정보
2014년|32권 3호|pp.163-169 (7 pages)
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대한방사선종양학회
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정기간행물|ENG|
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기타
이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

Purpose: To report the results of stereotactic body radiotherapy (SBRT) for unresectable primary or recurrent cholangiocarcinoma. Materials and Methods: From January 2005 through August 2013, 58 patients with unresectable primary (n = 28) or recurrent (n = 30) cholangiocarcinoma treated by SBRT were retrospectively analyzed. The median prescribed dose was 45 Gy in 3 fractions (range, 15 to 60 Gy in 1-5 fractions). Patients were treated by SBRT only (n = 53) or EBRT + SBRT boost (n = 5). The median tumor volume was 40 mL (range, 5 to 1,287 mL). Results: The median follow-up duration was 10 months (range, 1 to 97 months). The 1-year, 2-year overall survival rates, and median survival were 45%, 20%, and 10 months, respectively. The median survival for primary group and recurrent group were 5 and 13 months, respectively. Local control rate at 1-year and 2-year were 85% and 72%, respectively. Disease progression-free survival rates at 1-year and 2-year were 26% and 23%, respectively. In univariate analysis, ECOG performance score (0-1 vs. 2-3), treatment volume (<50 vs. ${geq}50mL$), and pre-SBRT CEA level (<5 vs. ${geq}5ng/mL$) were significant in overall survival rate. In multivariate analysis, ECOG score (p = 0.037) and tumor volume (p = 0.030) were statistically significant. In the recurrent tumor group, patients with >12 months interval from surgery to recurrence showed statistically significant higher overall survival rate than those with ${leq}12$ months (p = 0.026). Six patients (10%) experienced ${geq}$grade 3 complications. Conclusion: SBRT can be considered as an effective local modality for unresectable primary or recurrent cholangiocarcinoma.