Radiation therapy for limited-stage small-cell esophageal cancer |
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Authors: | Nemoto Kenji Zhao Heng-Jiang Goto Takumi Ogawa Yoshihiro Takai Yoshihiro Matsushita Haruo Takeda Ken Takahashi Chiaki Saito Haruo Yamada Shogo |
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Affiliation: | Department of Radiation Oncology, Tohoku University School of Medicine, Sendai, Japan. |
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Abstract: | Between 1985 and 1999, 20 patients with limited-stage small-cell carcinoma of the esophagus (SCEC) received radiation therapy at Tohoku University Hospital and Miyagi Cancer Center Hospital. Twelve patients received definitive radiation therapy and eight patients received postoperative prophylactic irradiation after surgery. The 1-, 2-, and 5-year survival rates of all cases were 44%, 37%, and 19%, respectively. Distant metastasis was the most frequent pattern of recurrence. Survival rates differed significantly between the 6 patients who were not treated with chemotherapy (median survival time, 5 months) and the 14 patients who were (24 months) (p = 0.0061). Good local control rates can be obtained by definite or postoperative radiation therapy for SCEC. However, SCEC should be regarded as a systemic disease, and chemotherapy should be given. Multiinstitutional studies are needed to obtain sufficiently large populations for investigation and optimization of local therapy for this disease. |
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