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Clinical outcomes for 61 cases of hypopharyngeal cancer with synchronous esophageal cancer

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机构: [1]Department of Oncology, Affiliated Hospital of Southwest Medical University, No. 25, Taiping street, Luzhou city, Sichuan, China [2]Department of Oncology, People’s Hospital of Cangxi County, Guangyuan, China [3]Department of Radiation Oncology, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China [4]Department of Head Neck Oncology, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China [5]Institute of Drug Clinical Trial, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
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关键词: hypopharyngeal neoplasms esophageal neoplasms chemoradiotherapy surgery survival rate

摘要:
The aim of this research was to provide data from a single-center study of the treatment of synchronous hypopharyngeal cancer (HPC) and esophageal cancer (EC) with different treatment modalities. A total of 61 patients with synchronous HPC and EC were included in this study. Patients were treated with radiotherapy/chemoradiotherapy (28 cases), surgery (9 cases), palliative radiotherapy and/or chemotherapy (17 cases), or supportive care (7 cases). The median radiotherapy doses for EC and HPC in the radiotherapy/chemoradiotherapy group were 64.5 Gy (range, 0-70) and 70 Gy (range, 60-75.2), respectively. Seven patients in the surgery group received pharyngoesophagectomy with gastric pull-up reconstruction, and two received esophagectomy followed by radiotherapy at the hypopharynx. Cox proportional hazard analysis revealed that the outcome of active treatments, including surgery and radiotherapy/chemoradiotherapy, was better than that of conservative care. In survival analysis, patients in the surgery group tended to have a better 3-year overall survival rate than those in the radiotherapy/chemoradiotherapy group (55.6% vs 30.9%); however, this difference was not statistically different (P = 0.493). The two groups had similar 3-year progression-free survival rates (30.6% and 33.3%, P = 0.420). The current study suggested that radiotherapy/chemoradiotherapy should be considered as an important treatment modality in addition to surgery for synchronous HPC and EC.

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出版当年[2019]版:
大类 | 4 区 医学
小类 | 3 区 生物学 4 区 肿瘤学 4 区 核医学
最新[2023]版:
大类 | 4 区 医学
小类 | 3 区 生物学 4 区 肿瘤学 4 区 核医学
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出版当年[2019]版:
Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Q3 BIOLOGY Q4 ONCOLOGY
最新[2023]版:
Q2 BIOLOGY Q3 ONCOLOGY Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

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第一作者机构: [1]Department of Oncology, Affiliated Hospital of Southwest Medical University, No. 25, Taiping street, Luzhou city, Sichuan, China
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通讯机构: [1]Department of Oncology, Affiliated Hospital of Southwest Medical University, No. 25, Taiping street, Luzhou city, Sichuan, China [3]Department of Radiation Oncology, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China [*1]Department of Oncology, Affiliated Hospital of Southwest Medical University, No. 25, Taiping street, Luzhou city, Sichuan, China
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