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Jaspers JPM, Méndez Romero A, Wiggenraad R, Compter I, Eekers DBP, Nout RA, van den Bent M. Pattern of failure in IDH mutated, low grade glioma after radiotherapy - Implications for margin reduction. Radiother Oncol 2020; 156:43-48. [PMID: 33245948 DOI: 10.1016/j.radonc.2020.11.019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Revised: 10/26/2020] [Accepted: 11/16/2020] [Indexed: 10/22/2022]
Affiliation(s)
- J P M Jaspers
- Department of Radiotherapy, Erasmus MC Cancer Institute, Erasmus MC University Medical Center, Rotterdam, the Netherlands.
| | - A Méndez Romero
- Department of Radiotherapy, Erasmus MC Cancer Institute, Erasmus MC University Medical Center, Rotterdam, the Netherlands
| | - R Wiggenraad
- Department of Radiotherapy, Haaglanden Medisch Centrum, Leidschendam, the Netherlands
| | - I Compter
- Department of Radiation Oncology (MAASTRO), GROW - School for Oncology and Developmental Biology, Maastricht University Medical Centre, the Netherlands
| | - D B P Eekers
- Department of Radiation Oncology (MAASTRO), GROW - School for Oncology and Developmental Biology, Maastricht University Medical Centre, the Netherlands
| | - R A Nout
- Department of Radiotherapy, Erasmus MC Cancer Institute, Erasmus MC University Medical Center, Rotterdam, the Netherlands
| | - M van den Bent
- Department of Neuro-Oncology/Neurology, Erasmus MC Cancer Institute, Erasmus MC University Medical Center, Rotterdam, the Netherlands
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Boer A, van der Weide H, Coremans I, Eekers D, de Groot C, van der Heide H, Jonkman A, van de Sande M, Swaak A, van der Toorn P, Verhoeff J, Vlasman R, Wester G, Wiggenraad R, Langendijk J, Brouwer C, Kramer M. Inter-center Planning Variation Of Low-grade Glioma In The Netherlands. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.2000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Petoukhova A, Snijder R, Wiggenraad R, de Boer-de Wit L, Mudde-van der Wouden I, Florijn M, Zindler J, van Santvoort J. Automated Planning to Improve Linac-Based Stereotactic Radiosurgery Plan Quality in Patients with 4 up to 10 Brain Metastases. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Ter Haar C, Habraken S, Lathouwers D, Wiggenraad R, Krol S, Perkó Z, Hoogeman M. PO-0998 Setup and range robustness recipes for skullbase meningioma IMPT using Polynomial Chaos Expansion. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)31418-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Knotter N, Horeweg N, Coremans I, Wiggenraad R, Van der Linden Y. PO-0777 Predicting overall survival after radiotherapy for brain metastases in patients with NSCLC. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)31197-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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RodrigueS M, Veen S, Van Egmond J, Van Hameren M, Van Oorschot T, De Vet S, Van Santvoort J, Wiggenraad R, Mast M. PO-1092 The influence of a 6D couch and an individual head support on positioning in head-andneck cancer. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)31512-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Jaspers J, Mendez Romero A, Hoogeman M, van den Bent M, Wiggenraad R, Taphoorn M, Eekers D, Lagerwaard F, Lucas A, Baumert B, Klein M. The Hippocampal NTCP Model Could Not be Validated Within the EORTC-22033 Low-Grade Glioma Trial. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.06.114] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Hartgerink D, Swinnen A, Bruynzeel A, Hurkmans C, de Ruysscher D, van der Toorn P, Swaak A, Wiggenraad R, Veelen L, Verhoeff J, van der Geest A, Dieleman E, Jonkman A, Wester G, Zindler J. P05.31 Plan quality of stereotactic radiosurgery in a multicenter phase III randomized trial in patients with 4 up to 10 brain metastases. Neuro Oncol 2018. [DOI: 10.1093/neuonc/noy139.357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
| | - A Swinnen
- MAASTRO Clinic, Maastricht, Netherlands
| | | | - C Hurkmans
- Catharina Hospital, Eindhoven, Netherlands
| | | | | | - A Swaak
- Erasmus MC, Rotterdam, Netherlands
| | | | | | | | | | | | | | | | - J Zindler
- MAASTRO Clinic, Maastricht, Netherlands
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Van Santvoort J, Reijtenbagh D, Rozema H, Van Dalum M, Gangabisoensingh R, De Goede M, Wiggenraad R, Mast M. EP-1883: Class-solution for Pinnacle Autoplan using dual arc VMAT for head and neck cancer. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)32192-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Buitelaar-Gallé M, Van Egmond J, Van Santvoort J, Roos J, Versluis L, De Vet S, Van Hameren M, Van Oorschot T, Wiggenraad R, Van Wingerden J, Mast M. EP-2339: Evaluation of a new mask system for stereotactic radiotherapy in brain lesions. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)32648-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Wiggenraad R, Mast M, Franssen J, Verbeek- de Kanter A, Struikmans H. OC-0055: Pseudo-progression after stereotactic radiotherapy of brain metastases is serious radiation toxicity. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)31304-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Habets E, Dirven L, Wiggenraad R, Zwinkels H, Nijeholt GLA, Taphoorn M. QL-11 * HEALTH-RELATED QUALITY OF LIFE, COGNITIVE FUNCTIONING AND SURVIVAL IN PATIENTS TREATED WITH STEREOTACTIC RADIOTHERAPY FOR BRAIN METASTASES: A PROSPECTIVE STUDY. Neuro Oncol 2014. [DOI: 10.1093/neuonc/nou269.11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Habets EJJ, Dirven L, Wiggenraad R, Zwinkels H, Lycklamaa Nijeholt GJ, Taphoorn MJB. O9.05 * COGNITIVE FUNCTIONING, HEALTH-RELATED QUALITY OF LIFE AND SURVIVAL AFTER STEREOTACTIC RADIOTHERAPY IN PATIENTS WITH BRAIN METASTASES. Neuro Oncol 2014. [DOI: 10.1093/neuonc/nou174.76] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Wiggenraad R, Petoukhova A, Franssen J, Lycklama à Nijeholt G, Verbeek- de Kanter A, Struikmans H. EP-1422: Interobserver variability in the delineation of cranial nerves. Radiother Oncol 2014. [DOI: 10.1016/s0167-8140(15)31540-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Wiggenraad R, Bos P, Verbeek- de Kanter A, Lycklama a Nijeholt G, van Santvoort J. PO-0747: Analysis of radiation effects after stereotactic radiotherapy of brain metastases using MRI cine-loops. Radiother Oncol 2013. [DOI: 10.1016/s0167-8140(15)33053-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Wiggenraad R, Verbeek-de Kanter A, Mast M, Molenaar R, Kal HB, Lycklama à Nijeholt G, Vecht C, Struikmans H. Local progression and pseudo progression after single fraction or fractionated stereotactic radiotherapy for large brain metastases. A single centre study. Strahlenther Onkol 2012; 188:696-701. [PMID: 22722818 DOI: 10.1007/s00066-012-0122-3] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2012] [Accepted: 03/26/2012] [Indexed: 10/28/2022]
Abstract
PURPOSE The 1-year local control rates after single-fraction stereotactic radiotherapy (SRT) for brain metastases > 3 cm diameter are less than 70%, but with fractionated SRT (FSRT) higher local control rates have been reported. The purpose of this study was to compare our treatment results with SRT and FSRT for large brain metastases. MATERIALS AND METHODS In two consecutive periods, 41 patients with 46 brain metastases received SRT with 1 fraction of 15 Gy, while 51 patients with 65 brain metastases received FSRT with 3 fractions of 8 Gy. We included patients with brain metastases with a planning target volume of > 13 cm(3) or metastases in the brainstem. RESULTS The minimum follow-up of patients still alive was 22 months. Comparing 1 fraction of 15 Gy with 3 fractions of 8 Gy, the 1-year rates of freedom from any local progression (54% and 61%, p = 0.93) and pseudo progression (85% and 75%, p = 0.25) were not significantly different. Overall survival rates were also not different. CONCLUSION The 1-year local progression and pseudo progression rates after 1 fraction of 15 Gy or 3 fractions of 8 Gy for large brain metastases and metastases in the brainstem are similar. For better local control rates, FSRT schemes with a higher biological equivalent dose may be necessary.
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Affiliation(s)
- R Wiggenraad
- Radiotherapy Centre West, Lijnbaan 32, 2512 VA, The Hague, The Netherlands.
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Petoukhova A, Egmond J, Eenink M, Wiggenraad R, Santvoort J. SU-E-T-547: ArcCHECK Diode Array for Dosimetric Verification of HybridArc. Med Phys 2011. [DOI: 10.1118/1.3612509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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van Santvoort J, Eenink M, Petoukhova A, Wiggenraad R. 1349 poster IMPLEMENTATION OF INTENSITY MODULATED RADIATION THERAPY FOR PARTIAL BRAIN IRRADIATION. Radiother Oncol 2011. [DOI: 10.1016/s0167-8140(11)71471-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Coremans I, Wiggenraad R, de MJ, van Santvoort J, ages D, Putter H, van Duinen S, Natte R, Taphoorn M, Marijnen C, Creutzberg C. 964 poster PATTERNS OF RECURRENCE AND SURVIVAL IN 168 GLIOBLASTOMA PATIENTS AFTER TEMOZOLOMIDE BASED CHEMORADIATION. Radiother Oncol 2011. [DOI: 10.1016/s0167-8140(11)71086-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Rietveld P, de Goede M, Wiggenraad R, Eenink M, van Egmond J. 1362 poster ARCCHECK IMRT-QA: EXPLORING ITS SENSITIVITY TO INTRODUCED DOSIMETRIC ERRORS. Radiother Oncol 2011. [DOI: 10.1016/s0167-8140(11)71484-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Wiggenraad R, Verbeek- de Kanter A. What is the Optimal Dose in Stereotactic Radiotherapy of Brain Metastases? A Systematic Literature Search. Int J Radiat Oncol Biol Phys 2010. [DOI: 10.1016/j.ijrobp.2010.07.635] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Rasch CRN, Hauptmann M, Schornagel J, Wijers O, Buter J, Gregor T, Wiggenraad R, de Boer JP, Ackerstaff AH, Kroger R, Hoebers FJP, Balm AJM. Erratum: Intra-arterial versus intravenous chemoradiation for advanced head and neck cancer: Results of a randomized phase 3 trial. Cancer 2010. [DOI: 10.1002/cncr.25234] [Citation(s) in RCA: 54] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Petoukhova A, van Wingerden J, Wiggenraad R, van de Vaart P, Van Egmond J, Franken E, van Santvoort J. EVALUATION AND IMPLEMENTATION OF IPLAN RT MONTE CARLO DOSE ALGORITHM. Radiother Oncol 2009. [DOI: 10.1016/s0167-8140(12)72740-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Rasch C, Salverda G, Schornagel J, Kröger R, Wiggenraad R, Buter J, Rietveld D, Ackerstaf A, Oughlane-Heemsbergen W, Balm F. Plenary 2. Int J Radiat Oncol Biol Phys 2006. [DOI: 10.1016/j.ijrobp.2006.07.1329] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Wiggenraad R, Koning C, Westermann C, Jansen C, van der Zee J. Two cases of fatal necrosis of the lesser pelvis in patients treated with combined radiotherapy and hyperthermia for cervical carcinoma. Int J Hyperthermia 2005; 21:185-92. [PMID: 16019846 DOI: 10.1080/02656730500069609] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Abstract
This study reports two cases of fatal necrosis of the lesser pelvis in patients with advanced cervical carcinoma, who had received combined radiotherapy and hyperthermia. The necrosis reached far from the high dose area, in one of the cases even outside the radiation portals. Both patients initially had treatment-related morbidity which responded well to surgical treatment. After a disease-free interval, a rapidly progressive necrosis developed. Necrosis to this extent after combined modality treatment has, to the authors' knowledge, not been described.
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Affiliation(s)
- R Wiggenraad
- Department of Radiotherapy, The Hague Medical Centre, The Netherlands.
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Wiggenraad R, Coerkamp E, Tamminga R, Wiersma T, Sorge A. Is the vaginal rod an accurate method to localise the vaginal apex? Eur J Cancer 1999. [DOI: 10.1016/s0959-8049(99)80779-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Wiggenraad R, Tamminga R, Blok P, Rouse R, Hermans J. The prognostic significance of p53 expression for survival and local control in rectal carcinoma treated with surgery and postoperative radiotherapy. Int J Radiat Oncol Biol Phys 1998; 41:29-35. [PMID: 9588914 DOI: 10.1016/s0360-3016(98)00043-1] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
PURPOSE To investigate whether p53 immunoreactivity is a prognostic factor for survival and pelvic control in rectal carcinoma treated with surgery and postoperative radiotherapy. METHODS AND MATERIALS From 1981 through 1989, 146 patients with rectal carcinoma received postoperative radiotherapy and were followed for at least 5 years or until death. The specimens of 123 of these 146 patients could be retrieved and examined immunohistochemically for p53 expression. The prognostic value for survival and pelvic control of p53 expression and other patient and treatment factors was examined by univariate and multivariate analyses. RESULTS p53 expression has no prognostic significance for overall survival in this group of 123 patients. The only prognostic factor for survival in this material is tumor stage (p < 0.01). The actuarial pelvic recurrence rates of p53- and p53+ cases are different in favor of the p53- ones. In the univariate analysis this difference is significant (p = 0.05). However, in the multivariate analysis the influence of p53 expression, additional to stage, becomes nonsignificant (p = 0.10). This indicates that p53 expression is not a strong independent prognostic factor for pelvic recurrence. In the multivariate analysis stage turns out to be the only predictor of pelvic recurrence (p = 0.03). When only recurrences inside the radiation field are considered, there is no difference between p53+ and p53-cases. CONCLUSION Based on this material, we have found no convincing evidence that p53 expression is an important predictor of survival or local control in rectal cancer treated with surgery and postoperative radiotherapy. We have found no evidence that possible differences in radiosensitivity between p53+ and p53- tumors have clinical significance for this group of patients.
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Affiliation(s)
- R Wiggenraad
- Department of Radiotherapy, Westeinde Hospital, Den Haag, The Netherlands
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Wiggenraad R, de Jager-Nowak H, Tamminga R, Biesta J, Westermann C, Niël C, Koning C. 40 The palliative effect of combined in- and external radiotherapy in inoperable oesophageal cancer. Radiother Oncol 1996. [DOI: 10.1016/s0167-8140(96)80047-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Wiggenraad R, Raming M, Hermans J, Biesta J, Hoekstra F, de Jager-Nowak H. Postoperative local radiotherapy in rectal cancer: treatment results with limited radiation fields. Int J Radiat Oncol Biol Phys 1993; 27:785-90. [PMID: 8244806 DOI: 10.1016/0360-3016(93)90450-a] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
PURPOSE The purpose of this study is to determine the treatment results and complication rates of postoperative local radiotherapy, with doses per fraction of 2.25 to 2.50 Gy, in patients with rectal carcinoma who have received macroscopically radical surgery. METHODS AND MATERIALS A retrospective analysis was done of the records of all consecutive patients (N = 147) with rectal carcinoma Dukes' Stage B or C who have received postoperative local radiotherapy in our institution in the years 1981 through 1989. All patients have been treated on a limited target area covered by only local radiation fields. Locoregional fields covering the whole iliac node chains have not been given. In our treatment protocol doses per fraction were from 2.25 to 2.50 Gy and total doses from 50 to 55 Gy. The minimum follow-up was 24 months; eight patients have been lost to follow-up. RESULTS The overall 5-year survival rate for the whole group of patients was 39%. The actuarial 2- and 5-year pelvic recurrence rates were 14% and 22% respectively for Dukes' B patients and 30% and 38% respectively for Dukes' C patients. The difference between the pelvic recurrence rates of Stage B and Stage C patients was statistically significant (p = 0.009). No other factors with prognostic significance for pelvic recurrence were found. The interval between surgery and radiotherapy especially had no influence on pelvic recurrence rates. The 35 pelvic recurrences were classified as follows: 17 in-field, 5 marginal, 1 out-of-field, and 9 peritoneal seeding; in three patients there was not enough information for classification. Of the 32 classified pelvic recurrences, the five marginal recurrences were probably geographical misses, only the one out-of-field recurrences, the five marginal recurrences were probably geographical misses; only the one out-of-field recurrence might have been prevented with locoregional radiotherapy. Serious complications caused by the radiotherapy have occurred in 3% of the patients. CONCLUSION We conclude that the results of postoperative local radiotherapy alone are comparable with the published results of locoregional radiation. Even when relatively high doses per fraction are given low complication rates are seen.
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Affiliation(s)
- R Wiggenraad
- Department of Radiotherapy, Westeinde Hospital, The Hauge, The Netherlands
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Abstract
The adjuvant postoperative irradiation is an efficient treatment method to diminish the chance on pelvic recurrences in high risk group patients having rectosigmoid or rectumcarcinomas Dukes B or C and/or in case of positive surgical margins. We reviewed the literature and our own patient material treated at the University Hospital Utrecht in the years 1980-1983. Our results are comparable with the results published in Boston. Because of the high percentage local recurrence in the perineum following APR, we changed our technique and dose. Our results from 1980-1983 and the technique and dose used since 1985 is described. We also recommend some preventive measures to lower the complication rate.
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Affiliation(s)
- R Wiggenraad
- Dep. Radiotherapie, University Hospital, Utrecht, Holland
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Wiggenraad R, Boven E, Vermorken JB, Pinedo HM. [Extensive soft-tissue sarcoma: a hopeless situation?]. Ned Tijdschr Geneeskd 1987; 131:1793-6. [PMID: 3670488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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