Selected Publication:
Pakisch, B; Kohek, P; Poier, E; Stücklschweiger, G; Poschauko, J; Raith, J; Quehenberger, F; Mayer, R; Hackl, A.
Iridium-192 high dose rate brachytherapy combined with external beam irradiation in non-resectable oesophageal cancer.
Clin Oncol (R Coll Radiol). 1993; 5(3):154-158
Doi: 10.1016/S0936-6555(05)80314-0
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- Co-authors Med Uni Graz
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Mayer Ramona
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Quehenberger Franz
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Raith Johann
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- Abstract:
- Forty-eight patients with non-resectable cancer of the oesophagus and oesophagogastric junction (group A: Stage I/II: n = 32; group B: Stage III/IV: n = 16) underwent intralumenal iridium-192 high dose-rate afterloading brachytherapy (5-7 Gy/session, total dose 5-21 Gy, mean 12.4 Gy) and external beam irradiation (Karnofsky > or = 80%: 50-60 Gy/2 Gy per day; Karnofsky 60%-79%: 30 Gy/3 per day). Prolonged satisfactory palliation (intake of at least semi-solid food) was demonstrated in 96% of patients. The mean survival for group A was 19.1 months and that for group B 6.9 months, with a 12-month survival rate of 66% for group A and 0% for group B (P < 0.001). Local tumour response and complication rate were significantly dose related with a predicted response rate of 70.5% and a complication rate of 50% at extrapolated response dose (ERD) 129.3 GY3 (Gy at alpha/beta = 3).
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Adult -
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Aged -
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Aged, 80 and over -
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Brachytherapy - adverse effects
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Esophageal Neoplasms - mortality
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Iridium Radioisotopes - therapeutic use
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Palliative Care -
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