Shen Wenbin,Gao Hongmei,Zhu Shuchai,Li Youmei,Cao Yankun,Liu Zhikun,Li Shuguang,Su Jingwei,Li Juan.Analysis on efficacy of different radiotherapy methods in no-metastasis esophageal squamous cell carcinoma[J].Chinese Journal of Radiological Medicine and Protection,2015,35(4):265-269
Analysis on efficacy of different radiotherapy methods in no-metastasis esophageal squamous cell carcinoma
Received:June 29, 2014  
DOI:10.3760/cma.j.issn.0254-5098.2015.04.007
KeyWords:Esophageal neoplasms  Radiotherapy mode  Efficacy
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Author NameAffiliationE-mail
Shen Wenbin Department of Radiation Oncology, The Forth Hospital, Hebei Medical University, Shijiazhuang 050011, China  
Gao Hongmei 石家庄市第一医院放射科  
Zhu Shuchai Department of Radiation Oncology, The Forth Hospital, Hebei Medical University, Shijiazhuang 050011, China sczhu1963@163.com 
Li Youmei Department of Radiation Oncology, The Forth Hospital, Hebei Medical University, Shijiazhuang 050011, China  
Cao Yankun Department of Radiation Oncology, The Forth Hospital, Hebei Medical University, Shijiazhuang 050011, China  
Liu Zhikun Department of Radiation Oncology, The Forth Hospital, Hebei Medical University, Shijiazhuang 050011, China  
Li Shuguang Department of Radiation Oncology, The Forth Hospital, Hebei Medical University, Shijiazhuang 050011, China  
Su Jingwei Department of Radiation Oncology, The Forth Hospital, Hebei Medical University, Shijiazhuang 050011, China  
Li Juan Department of Radiation Oncology, The Forth Hospital, Hebei Medical University, Shijiazhuang 050011, China  
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Abstract::
      Objective To evaluate the curative effect of different radiotherapy methods in no-metastasis and lesion length ≤ 5.0 cm esophageal squamous cell carcinoma (ESCC). Mothods A total of 158 eligible patients were retrospectively analyzed. The treatment out comes prognosis factors, and toxicity were evaluated. Results There were no significantly differences in curative effect for ENI and IFI group(χ2=2.17,P>0.05). Compared with IFI group, the OS and TSS were significantly higher than in ENI group (χ2=11.21, 8.57, P<0.05), and the LR ratio and DM ratio were significantly lower than that of the IFI patients (χ2=4.99, 7.48, P<0.05). Multivariate analysis showed that ECOG grade and short-term effect (χ2=15.05,10.32,P<0.05) were the independent prognostic factor for IFI, while the maximum diameter of CT(χ2=8.32,P<0.05) was the independent prognostic factor for ENI. There were no significant differences in acute radiation esophagitis and pneumonitis between ENI and IFI groups. Conclusions Radiotherapy in combination with chemotherapy has a good curative effect in no-metastasis and lesion length ≤ 5.0 cm ESCC patients. More survival benefit might be achieved by ENI than IFI.
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