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The outcome of the first 100 nasopharyngeal cancer patients in thailand treated by helical tomotherapy Cover

Figures & Tables

Figure 1

Kaplan-Meier estimate of loco-regional failure free survival (LRFFS).
Kaplan-Meier estimate of loco-regional failure free survival (LRFFS).

Figure 2

Kaplan-Meier estimate of distant metastasis free survival (DMFS).
Kaplan-Meier estimate of distant metastasis free survival (DMFS).

Figure 3

Kaplan-Meier estimate of overall survival (OS).
Kaplan-Meier estimate of overall survival (OS).

Patient and treatment characteristics

CharacteristicsValuesN=100N (%)
Gender
 Female38 (38%)
 Male62 (62%)
 Histological subtype
 Keratinizing2 (2%)
 Non-keratinizing; differentiated32 (32%)
 Non-keratinizing; undifferentiated66 (66%)
Stage
 II23 (23%)
 III45 (45%)
 IVA21 (21%)
 IVB11 (11%)
T stage
 T128 (28%)
 T230 (30%)
 T320 (20%)
 T422 (22%)
N stage
 N05 (5%)
 N130 (30%)
 N254 (54%)
 N3a7 (7%)
 N3b4 (4%)
Dose statistic
 D95% of PTV70, mean (SD)70.2 (0.5)
 D95% of PTV59.4, mean (SD)59.8 (0.6)
 D95% of PTV54, mean (SD)54.3 (0.8)
 Conformity index (CI), mean (SD)0.89 (0.13)
 Homogeneity index (HI), mean (SD)0.06 (0.07)
 D2% of spinal cord, median (SD)34.1 (4.4)
 D2 cc of brainstem, mean (SD)53.3 (6.3)
 D50 of ipsilateral parotid gland, mean (SD)38.5 (11.2)
 D50 of contralateral parotid gland, mean (SD)28.4 (6.7)

Comparative studies of outcome and toxicities in NPC treated by HT concurrent with chemotherapy

StudyMedian Follow up (Range) (month)No. of CCRT (%)LRFFS (%)DMFS (%)OS (%)Severe toxicity (grade > 2)

Acute Dermatitis (%)Acute Mucositis (%)Acute Pharyngitis (%)Acute Xerostomia (%)Late Xerostomia (%)
Wong et al. 2234 (9-50)7093.6 (3 yr)86.6 (3 yr)87.2 (3 yr)-67.4--2.3
Wolden et al. 2335 (3-74)9391 (3 yr)78 (3 yr)------
Kam et al. 2429 (8-45)3092 (3 yr)79 (3 yr)90 (3 yr)-92-7523 (2 yr)
Lee et al. 731 (6-55)6589.3 (2 yr)84.7 (2 yr)80.2 (2 yr)-4.4 (grade4)--3.1
Tham et al. 2536.510093.1 (3 yr)---29-3-
Lee et al. 2631 (7-22)7598 (4 yr)66 (4 yr)88 (4 yr)-94--2.5 ( 2 yr)
Liu et al. 2713 (8/18)58100 (13 M)--579-5-
Wang et al. 2847.1 (11-68)8394 (4 yr)85 (4 yr)86.1 (4 yr)-33.3-4.712.3 (2 yr)
Sultanem et al. 2721.8 (5-49)91100 (4 yr)57 (4 yr)94 (4 yr)-51 (grade3)---
Du et al. 2032 (3-38)6496.1 (3 yr)92 (3 yr)86.3 (3 yr)4.73.2-0-
Leung et al. 1741 (0.2-67)62.597 (5 yr)84.6 (5 yr)-04--0
Du et al. 2123.7 (12-38)10092.2 (2 yr)92.7 (2 yr)93.2 (2 yr)5.39.10.5 (grade 3)0-
Zhang et al. 3048 (41.7-58)100 (cetuximab)95.2 (2 yr)88.1 (2 yr)93 (2 yr)7 (grade3)81.4 (grade3)---
Our Study33 (25-41)10094 (2 yr)96 (2 yr)99 (2 yr)537 (grade3)51 (grade 3)-5 (grade 3)
DOI: https://doi.org/10.1515/raon-2017-0017 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 351 - 356
Submitted on: Jan 10, 2017
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Accepted on: Feb 18, 2017
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Published on: Apr 21, 2017
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2017 Imjai Chitapanarux, Wannapha Nobnop, Patumrat Sripan, Ausareeya Chumachote, Ekkasit Tharavichitkul, Somvilai Chakrabandhu, Pitchayaponne Klunklin, Wimrak Onchan, Bongkot Jia-Mahasap, Suwapim Janlaor, Patcharawadee Kayan, Patrinee Traisathit, Dirk Van Gestel, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution 4.0 License.