Literature DB >> 16360819

External beam radiotherapy for differentiated thyroid cancer.

Kenyon M Meadows1, Robert J Amdur, Christopher G Morris, Douglas B Villaret, Ernest L Mazzaferri, William M Mendenhall.   

Abstract

PURPOSE: To evaluate the efficacy of external beam radiation therapy (EBRT) for differentiated thyroid carcinomas.
METHODS: Forty-two patients with a locally advanced or recurrent differentiated thyroid carcinoma received high-dose EBRT. Thirty-three patients had local-regional disease and 9 patients also had asymptomatic disease metastases. Twenty patients (48%) had macroscopic local-regional disease before EBRT.
RESULTS: The 5-year outcomes for the overall population and for the subset of those without distant metastases before EBRT were local-regional control (88% and 89%, respectively), cause-specific survival (80% and 86%, respectively), and overall survival (54% and 60%, respectively). Local-regional control was improved for patients with microscopic residual disease compared with macroscopic disease, those with previously untreated tumors, and for those who received more than 64 Gy.
CONCLUSION: EBRT increases the likelihood of local-regional control for patients with locally advanced differentiated thyroid carcinoma.

Entities:  

Mesh:

Year:  2006        PMID: 16360819     DOI: 10.1016/j.amjoto.2005.05.017

Source DB:  PubMed          Journal:  Am J Otolaryngol        ISSN: 0196-0709            Impact factor:   1.808


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