Background and Objectives: Since the prognosis of patients with T4 squamous cell carcinoma (SCC) of the esophagus is extremely poor, an effective multimodal treatment needs to be established. Methods: Forty-five patients with SCC of the esophagus at the T4 classification of the disease but no hemato
Use of concurrent chemotherapy, accelerated fractionation radiation, and surgery for patients with esophageal carcinoma
β Scribed by David J. Adelstein; Thomas W. Rice; Mark Becker; Marjorie A. Larto; Thomas J. Kirby; Anuradha Koka; Melvin Tefft; Gregory Zuccaro
- Publisher
- John Wiley and Sons
- Year
- 1997
- Tongue
- English
- Weight
- 123 KB
- Volume
- 80
- Category
- Article
- ISSN
- 0008-543X
No coin nor oath required. For personal study only.
β¦ Synopsis
beginning on Day 1 and Day 21, concurrent with a split course of accelerated fractionation radiation (1.5 grays [Gy] twice daily, to a total dose of 45 Gy). All 1 Department of Hematology and Medical Onpatients were subsequently referred for surgical resection. A single, identical postcology, Cleveland Clinic Foundation, Cleveland, operative course of chemotherapy and 24 Gy accelerated fractionation radiation Ohio.
was planned for patients with residual tumor at surgery. 2 Department of Thoracic and Cardiovascular
RESULTS.
Seventy-four patients were entered on this study; 72 patients were con-Surgery, Cleveland Clinic Foundation, Cleveland, sidered eligible and evaluable. Induction toxicity included nausea (85%), increased Ohio.
dysphagia (90%), neutropenia (Γ΅1000/mm 3 ) (43%), thrombocytopenia (Γ΅20,000/
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