The benefit achieved by concurrent chemoradiotherapy (CCR) and sequential chemoradiotherapy (SCR) vs radiotherapy (RT) alone for patients with stage II-IVa nasopharyngeal carcinoma (NPC) was compared. A total of 113 patients with stage II-IV a NPC were allotted into CCR group (n=38), SCR group (n=36) and RT alone group (n=39). All patients were irradiated with the same RT technique to >= 66 Gy at 2 Gy per fraction, conventional 5 fractions/week in all groups. The CCR group received concurrent chemotherapy of weekly cisplatin for 7 weeks, and the SCR group received neoadjuvant and (or) adjuvant chemotherapy. The results showed that the 3- and 5-year overall survival rate was significantly higher in CCR group than in RT alone group (92.16% vs 61.54%, 81.58% vs 51.28%, P<0.005). The median survival time was significantly longer in CCR group than in RT alone group (67.8 months vs 52.7 months, P<0.005). It was concluded that CCR could significantly improve overall survival rate, progression-free survival rate, and median survival time when compared with RT alone.
基金:
This project was supported by a grant from the National Natural
Sciences Foundation of China (No. 30470525).
第一作者单位:[1]Cancer Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
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推荐引用方式(GB/T 7714):
Qi MEI,Guangyuan HU,Guoxian LONG,et al.A Prospective Study on Therapeutic Gain by Concurrent Chemoradiotherapy for Stage II-IVa Nasopharyngeal Carcinoma[J].JOURNAL OF HUAZHONG UNIVERSITY OF SCIENCE AND TECHNOLOGY-MEDICAL SCIENCES.2011,31(1):58-61.doi:10.1007/s11596-011-0150-8.
APA:
Qi MEI,Guangyuan HU,Guoxian LONG,Hong QIU,Qiang FU&Guoqing HU.(2011).A Prospective Study on Therapeutic Gain by Concurrent Chemoradiotherapy for Stage II-IVa Nasopharyngeal Carcinoma.JOURNAL OF HUAZHONG UNIVERSITY OF SCIENCE AND TECHNOLOGY-MEDICAL SCIENCES,31,(1)
MLA:
Qi MEI,et al."A Prospective Study on Therapeutic Gain by Concurrent Chemoradiotherapy for Stage II-IVa Nasopharyngeal Carcinoma".JOURNAL OF HUAZHONG UNIVERSITY OF SCIENCE AND TECHNOLOGY-MEDICAL SCIENCES 31..1(2011):58-61