논문검색
Author Min Ok Kim, M.D.1, Eui Sil Hong, M.D.1, Ji Young Chai, M.D.1, Joung Muk Leem, M.D.1, Il Young You, M.D.1, Won Dong Kim, M.D.1, Woo Yoon Park, M.D.1, Seung Taik Kim, M.D.1 and Ki Hyeong Lee, M.D.1
Place of duty Departments of 1Internal Medicine and 2Radiation Oncology, Chungbuk National University College of Medicine, Cheongju, Korea
Title Concurrent FP (5-fluorouracil, cisplatin) Chemoradiotherapy for Patients with Esophageal Cancer
Publicationinfo Cancer Research and Treatment 2003 Aug; 035(04): 330-334.
Key_word Esophageal neoplasm, Concurrent chemoradiotherapy
Full-Text
Abstract Purpose: The outcomes of a surgical approach for patients with an esophageal carcinoma remain unsatisfactory despite its high complication rates. We conducted a phase II trial, using combined FP (5-fluorouracil and cisplatin) chemotherapy and concurrent radiotherapy, as a definitive therapy for patients with esophageal cancer. Materials and Methods: Patients with histologically proven esophageal cancer were enrolled onto this study. The treatment consisted of four courses of chemotherapy and six and a half weeks of radiotherapy. The patients received chemotherapy in weeks 1, 5, 12 and 16 (5-fluorouracil 1,000 mg/m2 on days 1 to 4 and cisplatin 75 mg/m2 on day 1). Radiotherapy was administered at a dose of 59.4 Gy, in five 1.8 Gy fractions a week. Results: A total of 22 eligible patients entered the study. Of the 19 evaluable patients, a complete response occurred in 7 (37%), and a partial response in 8 (42%). After a median follow-up of 35 months, the overall survival rate was 32% at three years and the median survival was 11 months. Fourteen (64%) received planned dose of radio-therapy and 13 (59%) received more than three courses of chemotherapy. However, there was no difference in three-year survival rates between the patients that received less than three courses of chemotherapy and those that received three or more courses (31% vs. 32%). The major treatment related toxicity was mucositis, which developed in every patient, with grades III or IV in thirteen (59%) patients. During the treatment, the patients lost, on average, 3.8% of their body weight. The mean hospital stay was 23 days, with a total duration of treatment of 74 days. Conclusions: Concurrent FP chemoradiotherapy was effective as a definitive therapy for patients with esophageal cancer. The major toxicity was mucositis. Although the treatment was relatively feasible, a randomized trial of reduced courses of chemotherapy is warranted. (Cancer Research and Treatment 2003;35:330-334