동시 간 전이가 있는 직장암 환자에서 원발 부위에 대한 수술 후 보조 방사선 치료의 역할

• 영문명: The Role of the postoperative Adjuvant Radiation Therapy to Primary site in Rectal Cancer Patients with Synchronous Liver Metastasis
• 발행기관: 대한방사선종양학회
• 저자명: 표홍렬 (Hong Ryull Pyo) 성진실 (Jin Sil Weong) 신현수 (Hyun Soo Shin) 이형식 (Hyung Sik Lee) 김귀언 (Gwi Eon Kim) 서창옥 (Chang Ok Suh) 노준규 (Juhn Kyu Loh) 김우철 (Woo Cheol Kim)
• 간행물 정보: 『대한방사선종양학회지』제11권 제1호, 103~108쪽, 전체 6쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 1993.06.30

영문 초록

Among the patients with rectal cancer who entered Yonsei University Hospital for management from Jan. 1980 to Dec. 1990, we selected 23 subjects who were received surgical resection of tumor in rectum, and who proved to have liver metastasis during the diagnostic work-up, at the time of the operation, of within 3 months after starting definitive treatment. With those subjects, we investigated the role of radiation therapy by comparison of the treatment results of the patients without radiation therapy (S group) with those of the patients with radiation therapy to the primary site (S+R group). The local control rates of S group and S+R group were 64% and 89%, and 2-year survival rates were 50% and 78%, respectively. Although there was not statistically meaningful difference, local control rate and 2-year survival rate were higher in the group with radiation therapy to primary site than that without radiation therapy. The 2-year survival rates of the case with resection of the liver and the case without it were 636% and 58.3% respectively, which was not statistically significant. Also, the 2-year survival rate of the case with sustained local control was higher than that of the case with local failure, which was statistically significant (76.5% and 16.7%, p<0.005). From the above results, it is thought that radiation therapy to the primary site might improve the local control rate even in the patients with liver metastasis, which seems to be correlated to the higher survival rate.

목차

abstract

서론

대상 및 방법

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고찰

결론

REFERENCES

키워드

Rectal caecer Synchronous liver metastasis Radiotherapy.