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Rutkowski T, Wygoda A, Składowski K, Hejduk B, Rutkowski R, Lukaszczyk-Widel B, Hutnik M, Maciejewski B. Predictors of radiotherapy outcome in patients with T2 supraglottic carcinoma. Eur Arch Otorhinolaryngol 2011; 269:923-9. [PMID: 22116382 DOI: 10.1007/s00405-011-1847-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2011] [Accepted: 11/09/2011] [Indexed: 11/27/2022]
Abstract
The decision regarding treatment of early supraglottic carcinoma remains controversial. Single institution clinical data of patients with T2 supraglottic carcinoma treated exclusively with radiotherapy in terms of prognostic factors and treatment results were analyzed. Patient-related factors that would potentially by useful for optimal therapeutic decision to be undertaken were especially investigated. Between 1994 and 2004, 78 patients with T2 supraglottic carcinoma underwent radiotherapy (RT) in Maria Sklodowska-Curie Memorial Cancer Centre and Institute of Oncology, Gliwice Branch, Poland. There were 54 (69%) males and 24 (31%) females in the median age of 61 years. There were 17 (22%) patients with N+. Median body mass of patients before (BM0) and after RT (BM1) was 74 kg (range 45.2-130 kg) and 72.9 kg (range 49.9-122.5 kg), respectively. Median hemoglobin concentrations before (Hb0) and after (Hb1) RT were 14.3 and 13.4 g/dl, respectively. Median change of Hb concentration during RT (dHb) was -0.8 g/dl. All were treated up to total doses (TD) ranged from 62.5 to 72 Gy. The overall treatment time (OTT) ranged from 30 to 70 days. Estimates of local control (LC), ultimate local control (uLC), and overall survival (OS) were calculated using the Kaplan-Meier method. Log rank statistics, Cox proportional hazard model and step-wise Cox regression hazard model were employed to identify prognostic factors for LC, uLC, and OS in univariate and multivariate analyses. The 5-year LC, RC, uLC and OS rates were 85, 92, 88, and 56%, respectively. In multivariate analysis N+ (p = 0.01) and prolonged OTT (p = 0.03) significantly decreased LC. Females (p = 0.02), higher BM0 (p = 0.03), and HB0 (p = 0.006) significantly prolonged OS. Patient-related factors like gender, hemoglobin concentration, and body mass may predict treatment outcome. Radiotherapy is effective for T2 supraglottic carcinoma of the larynx unless higher dose intensity is provided. Involved regional lymph nodes significantly deteriorate locoregional cure.
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Affiliation(s)
- Tomasz Rutkowski
- Department of Radiation Oncology, Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Gliwice Branch, ul. Wybrzeże Armii Krajowej 15, 44-100, Gliwice, Poland.
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Widłak P, Pietrowska M, Wojtkiewicz K, Rutkowski T, Wygoda A, Marczak L, Marczyk M, Polańska J, Walaszczyk A, Domińczyk I, Składowski K, Stobiecki M, Polański A. Radiation-related changes in serum proteome profiles detected by mass spectrometry in blood of patients treated with radiotherapy due to larynx cancer. J Radiat Res 2011; 52:575-581. [PMID: 21768750 DOI: 10.1269/jrr.11019] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
The study aimed to detect features of human serum proteome that were associated with exposure to ionizing radiation. The analyzed group consisted of 46 patients treated with radical radiotherapy for larynx cancer; patients were irradiated with total doses in a range from 51 to 72 Gy. Three consecutive blood samples were collected from each patient: before the start, 2 weeks after the start, and 4-6 weeks after the end of radiotherapy. The low-molecular-weight fraction of the serum proteome (2,000-13,000 Da) was analyzed by the MALDI-ToF mass spectrometry. Proteome profiles of serum samples collected before the start of radiotherapy and during the early stage of the treatment were similar. In marked contrast, mass profiles of serum samples collected several weeks after the end of the treatment revealed clear changes. We found that 41 out of 312 registered peptide ions changed their abundance significantly when serum samples collected after the final irradiation were compared with samples collected at the two earlier time points. We also found that abundances of certain serum peptides were associated with total doses of radiation received by patients. The results of this pilot study indicate that features of serum proteome analyzed by mass spectrometry have potential applicability as a retrospective marker of exposure to ionizing radiation.
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Affiliation(s)
- Piotr Widłak
- Maria Skłodowska-Curie Memorial Cancer Center and Institute of Oncology, Gliwice, Poland.
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Pietrowska M, Polańska J, Walaszczyk A, Wygoda A, Rutkowski T, Składowski K, Marczak Ł, Stobiecki M, Marczyk M, Polański A, Widłak P. Association between plasma proteome profiles analysed by mass spectrometry, a lymphocyte-based DNA-break repair assay and radiotherapy-induced acute mucosal reaction in head and neck cancer patients. Int J Radiat Biol 2011; 87:711-9. [DOI: 10.3109/09553002.2011.556174] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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54
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Rutkowski T, Wygoda A, Hutnik M, Składowski K, Wydmański J, Maciejewski A, Szymczyk C, Wierzgoń J, Orlef A, Maciejewski B. Intraoperative radiotherapy (IORT) with low-energy photons as a boost in patients with early-stage oral cancer with the indications for postoperative radiotherapy : treatment feasibility and preliminary results. Strahlenther Onkol 2010; 186:496-501. [PMID: 20803185 DOI: 10.1007/s00066-010-2117-2] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2009] [Accepted: 05/20/2010] [Indexed: 11/30/2022]
Abstract
PURPOSE To evaluate the feasibility and preliminary results of intraoperative radiotherapy (IORT) with low-energy photons as a boost in patients with early-stage oral cancer with the indications for postoperative radiotherapy. PATIENTS AND METHODS Between 2003 and 2006, 16 patients with early-stage cancer of mobile tongue (n = 10 [63%]) or floor of the mouth (n = 6 [37%]) treated at Maria Skłodowska-Curie Memorial Cancer Center and Institute of Oncology, Gliwice Branch, Poland, were evaluated for IORT boost with the INTRABEAM®System (Carl Zeiss Surgical GmbH; IORT-PRS) because of the high risk of local recurrence due to positive margins on frozen pathologic section. After tumor resection, the applicator was positioned in the tumor bed. The applicator's diameter (range: 1.5-5 cm) was selected to encompass high-risk area of tumor recurrence. The dose (5 Gy, 7 Gy, or 7.5 Gy) was applied according to tumor volume and bone proximity. External-beam radiotherapy (EBRT) was provided to the tumor bed in all patients (50 Gy) and to the nodal area, when needed. Toxicity and local tumor control were assessed. RESULTS Median follow-up was 36 months. IORT did not increase acute mucosal reaction. Local tumor control was found in all cases. Early mucosal reaction did not exceed 3 according to the RTOG scale and healed in median time of 35 days after completion of EBRT. No late adverse effects were observed. CONCLUSION This preliminary report has demonstrated the feasibility of IORT-PRS for patients with early oral cancer with the indications for postoperative radiotherapy. This method may be considered an alternative boost technique, although additional studies are needed to establish long-term results in a larger group of patients.
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Affiliation(s)
- Tomasz Rutkowski
- Department of Radiation Oncology, Maria Skłodowska-Curie Memorial Cancer Center and Institute of Oncology, Gliwice Branch, Poland.
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55
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Suwiński R, Bańkowska-Woźniak M, Majewski W, Idasiak A, Maciejewski A, Ziółkowska E, Windorbska W, Składowski K, Miszczyk L, Maciejewski B. Randomized clinical trial on 7-days-a-week postoperative radiotherapy for high-risk squamous cell head and neck cancer. Radiother Oncol 2008; 87:155-63. [PMID: 18342964 DOI: 10.1016/j.radonc.2008.02.009] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2007] [Revised: 02/11/2008] [Accepted: 02/11/2008] [Indexed: 11/28/2022]
Abstract
PURPOSE To evaluate the normal tissue reactions and loco-regional control rates (LRC) in patients treated with 7-days-a-week postoperative continuous irradiation (p-CAIR) compared to conventionally fractionated 5-days-a-week postoperative radiotherapy (CF). MATERIALS/METHODS Between 2001 and 2004, 279 patients with high-risk squamous cell cancer of the larynx (158 pts.) or cancer of the oral cavity/oropharynx (121 pts.) were enrolled. They were stratified according to the primary cancer site (larynx vs. others) and the treating center and randomized to receive 63 Gy in fractions of 1.8 Gy given 5-days-a-week (140 pts: CF) or 7-days-a-week (139 pts: p-CAIR). RESULTS The acute and late toxicity was considered acceptable, although the proportion of patients with confluent mucositis was higher in p-CAIR compared to CF (60.0 vs. 33.3%). The actuarial 3-year LRC were 64 vs. 70% for CF and p-CAIR, respectively, p=0.32. A statistically significant improvement in 3-year LRC in p-CAIR arm appeared in a subset of the patients with cancer of the oropharynx/oral cavity (74% p-CAIR vs. 53% CF, p=0.02). By contrast, there was no improvement in LRC in a subset of the patients with cancer of the larynx (p=0.46). CONCLUSION An improvement in LRC attributable to acceleration of postoperative radiotherapy appeared restricted to the patients with cancer of the oropharynx/oral cavity. In patients with cancer of the larynx acceleration of postoperative radiotherapy did not have any beneficial effect.
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Affiliation(s)
- Rafał Suwiński
- Department of Radiation Oncology, M. Sklodowska-Curie Memorial Cancer Center, Institute of Oncology, Gliwice, Poland.
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Goleń M, Składowski K, Wygoda A, Pilecki B, Przeorek W, Sąsiadek W, Rutkowski T, d'Amico A, Kołosza Z. The influence of radiation technique on xerostomia in head and neck cancer patients – prospective study. Rep Pract Oncol Radiother 2007. [DOI: 10.1016/s1507-1367(10)60063-6] [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: 10/19/2022] Open
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57
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Wygoda Z, Kula D, Bierzyńska-Macyszyn G, Larysz D, Jarzab M, Właszczuk P, Bazowski P, Wojtacha M, Rudnik A, Stepień T, Kaspera W, Etmańska A, Składowski K, Tarnawski R, Kokocińska D, Jarzab B. Use of monoclonal anti-EGFR antibody in the radioimmunotherapy of malignant gliomas in the context of EGFR expression in grade III and IV tumors. Hybridoma (Larchmt) 2006; 25:125-32. [PMID: 16796458 DOI: 10.1089/hyb.2006.25.125] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.4] [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: 11/12/2022]
Abstract
We investigated the putative benefits of simultaneous teleradiotherapy and anti-epidermal growth factor receptor (EGFR) 125I monoclonal antibody (MAb) 425 radioimmunotherapy, when applied after neurosurgery in high-grade gliomas, over teleradiotherapy alone. In comparison to previous studies which have reported good results with this type of radioimmunotherapy, we advanced the adjuvant radioimmunotherapy step, that is, gave it during, not after, teleradiotherapy. The randomized prospective study examined two groups: simultaneous postoperative teleradiotherapy and radioimmunotherapy (TRT + RIT; eight patients) versus teleradiotherapy alone (TRT; 10 patients). Patients who after primary operation of grade III (6 cases) or IV glioma (12 cases), showed no or less than 2 mL of remnant tumor on post-operative magnetic resonance (MR) study and were not treated postoperatively by chemotherapy were enrolled and randomized. Anti-EGFR 125IMAb 425 RIT was started during week 4 of radiotherapy, not later than 8 weeks after neurosurgery, and was repeated three times at 1-week intervals. Total activity given was 5026 + 739 MBq/patient. The tolerance of TRT was good. No immediate side effects of concomitant anti-EGRF 125I RIT were observed. Observation showed a median total survival (as evaluated from the primary neurosurgical treatment) of 14 months (range 3.5-28 months). There was no improvement in disease-free or total survival in the group of patients treated by TRT + RIT after neurosurgery. In addition, an immunohistochemical analysis of EGFR expression in gliomas was performed in a group of 100 cases and was distinctly positive in 50% grade IV gliomas and 68% grade III gliomas. We conclude that simultaneous radiotherapy and radioimmunotherapy with anti-EGFR 125I-MAb 425 is not beneficial over radiotherapy alone in adjuvant treatment of high-grade gliomas after neurosurgery. We also recommend individual confirmation of EGFR expression in further anti-EGFR radioimmunotherapy trials.
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Affiliation(s)
- Zbigniew Wygoda
- Department of Nuclear Medicine and Endocrine Oncology, Maria Skłodowska-Curie Memorial Institute and Center of Oncology, Gliwice, Poland
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58
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Swider-Jedrys Z, Kozakiewicz J, Syguła M, Składowski K. [Primary multiple tumours in patients treated in Otolaryngological Department of Voivodenship Hospital Number 4 in Bytom]. Otolaryngol Pol 2006; 60:223-5. [PMID: 16903342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
The authors presented a specification of seven cases of multiple primary tumors treated in the Otolaryngological Department of Voivodenship Hospital No. 4 in Bytom (in the years 1991-2004). One case above-mentioned was described more closely. The presented case shows criterions for recognizing the malignant multiple primary tumors. The case describes a case of 42 years old patient treated for 3 primary tumors, metachronic--larynx, oral cavity and pharynx during 12 years. Two tumors have been radicaly removed in surgical treatment, the third one was cured by irradiation. The authors show more frequent appearance of malignant multiple primary tumors and their not clear etiology and emphasizing the significance of systematic follow up examinations after the treatment of primary tumors.
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Affiliation(s)
- Zofia Swider-Jedrys
- Oddzial Laryngologii Wojewódzkiego Szpitala Specjalistycznego Nr 4 w Bytomiu
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59
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Syguła M, Składowski K, Pilecki B, Wygoda A, Hutnik M, Sasiadek W. [Efficacy of primary and combined radiotherapy in locally advanced cancer of oropharynx and nasopharynx in III and IV stage]. Otolaryngol Pol 2005; 59:229-34. [PMID: 16095093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Aim of the study is evaluation of radiotherapy treatment in cancer of oropharynx and nasopharynx. Retrospective analysis was based on 283 patients in III and IV clinical stage of disease without distant metastases who were treated between 1989-2001. 201 patients were treated radiotherapy alone and 82 by combined modality: radiotherapy and chemotherapy. Induction chemotherapy and radiotherapy was used in 34 cases, concomitant chemoradiotherapy--25 and adjuvant chemotherapy and radiotherapy in 23 cases. Following methods of radiotherapy fractionation were used: accelerated in 35 cases, conventional--26, hyperfractionation--21. Accelerated treatment mainly was used in concomitant combined modality. Log-rank statistical analysis revealed better results of treatment for combined modality: radiotherapy and chemotherapy. Most effectiveness method of combined modality was concomitant radiochemotherapy. Locoregional control in 3 years observation interval was better for concomitant mode about 18% comparing to induction chemotherapy and radiotherapy and 30% to adjuvant chemotherapy and radiotherapy. Based on this data, the optimal mode of treatment in III and IV stage of oropharyngeal and nasopharyngeal cancer, especially with extensive nodal disease and extranodal involvement is concomitant treatment with accelerated fractionation dose of radiotherapy.
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Affiliation(s)
- Mariusz Syguła
- I Klinika Radioterapii, Centrum Onkologii-Instytut, Oddział w Gliwicach
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60
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Wygoda A, Sasiadek W, Adamiak D, Wołoszyńska K, Składowski K. [Peritoneal metastasis from regionally advanced hypopharyngeal cancer]. Otolaryngol Pol 2004; 58:609-12. [PMID: 15311611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/30/2023]
Abstract
A very rare case of patient with locally advanced hypopharyngeal cancer with solitary, large peritoneal metastasis was presented. Diagnostic imaging excluded other organs metastases (lungs, liver, bones). At 62-old patient with advanced hypopharyngeal cancer (T4N2b) a dynamical nodal progression (within 1.5 months) without primary tumour progression was observed, and number of metastatic nodes was increased from 2 to 9. Simultaneously, a solitary peritoneal metastasis was detected and other metastases were excluded. Stage of disease was determined as T4N2cM1 and patient was qualified to palliative treatment.
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Affiliation(s)
- Andrzej Wygoda
- I Klinika Radioterapii Centrum Onkologii-Instytut im. Marii Skłodowskiej-Curie, Oddział w Gliwicach
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61
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Czopkiewicz L, Pamucka M, Składowski K. 7/Ocena skuteczności hipofrakcjonowanej, pooperacyjnej radioterapii u chorych na niskozróżnicowane glejaki mózgu. Rep Pract Oncol Radiother 2004. [DOI: 10.1016/s1507-1367(04)70863-9] [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: 12/01/2022] Open
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62
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Składowski K. The “old” or “new” spinal cord? Problems of tolerance in postirradiation myelopathy. Rep Pract Oncol Radiother 2004. [DOI: 10.1016/s1507-1367(04)71020-2] [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] Open
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63
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Hutnik M, Sąsiadek W, Wygoda A, Rutkowski T, Syguła M, Pilecki B, Goleń M, Przeorek W, Heyda A, Składowski K. 93/Ocena skuteczności leczenia wspomagającego octanem megestrolu u chorych na nowotwory regionu głowy i szyi, leczonych za pomocą przyśpieszonej radioterapii. Rep Pract Oncol Radiother 2004. [DOI: 10.1016/s1507-1367(04)70949-9] [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: 11/25/2022] Open
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64
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Hejduk B, Goleń M, Wygoda A, Sąsiadek W, Przeorek C, Składowski K. 88/Ocena ryzyka popromiennej osteoporozy kręgosłupa szyjnego u chorych na raka rejonu głowy i szyi – doniesienie wstępne. Rep Pract Oncol Radiother 2004. [DOI: 10.1016/s1507-1367(04)70944-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: 10/18/2022] Open
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65
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Suwiński R, Bańkowska-Woźniak M, Majewski W, Sowa A, Galwas K, Miszczyk L, Składowski K, Windorbska W, Maciejewski B. 146. Pooperacyjne przyspieszone napromienianie przez 7 dni w tygodniu (p-CAIR) chorych na raka płaskonabłonkowego regionu głowy i szyi, doniesienie wstępne z realizacji kontrolowanego badania klinicznego. Rep Pract Oncol Radiother 2003. [DOI: 10.1016/s1507-1367(03)70630-0] [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: 11/25/2022] Open
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66
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Goleń M, Składowski K, Wygoda A, Przeorek W, Pilecki B, Syguła M, Kołosza Z. 149. Ocena wzajemnych korelacji pomiędzy objawami późnego odczynu popromiennego u chorych na nowotwory głowy i szyi leczonych promieniami. Rep Pract Oncol Radiother 2003. [DOI: 10.1016/s1507-1367(03)70633-6] [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: 11/30/2022] Open
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67
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Przeorek W, Przeorek C, Składowski K. 341. Ocena skuteczności hipofrakcjonowanej radioterapii (metoda manchesterska) u chorych na raka głośni w i stadium zaawansowania klinicznego (T1aN0, T1bN0). Rep Pract Oncol Radiother 2003. [DOI: 10.1016/s1507-1367(03)70824-4] [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: 11/24/2022] Open
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68
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Pilecki B, Sąsiadek W, Syguła M, Goleń M, Wygoda A, Przeorek W, Mucha A, Rutkowski T, Składowski K, Hejduk B. 281. Ocena ryzyka przerzutów odległych u chorych leczonych na mięsaki tkanek miękkich w Instytucie Onkologii w Gliwicach w latach 1991–2001. Rep Pract Oncol Radiother 2003. [DOI: 10.1016/s1507-1367(03)70764-0] [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: 10/18/2022] Open
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69
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Maciejewski B, Miszczyk L, Tarnawski R, Składowski K. How the game is played--challenge between therapeutic benefit and acute toxicity in fractionated radiotherapy. Front Radiat Ther Oncol 2002; 37:174-84. [PMID: 11764660 DOI: 10.1159/000061315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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70
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Wygoda A, Składowski K, Tarnawski R, Sasiadek W, Mucha A, Syguła M. [Prognostic factors in radiotherapy for hypopharyngeal cancer]. Otolaryngol Pol 2001; 54 Suppl 31:33-6. [PMID: 10974838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
This paper presents influence of selected prognostic factors on results of hypopharyngeal cancer radiotherapy used as only treatment in 97 patients irradiated in Centre of Oncology-Institute in Gliwice between 1980-1987. One-variant analysis showed statistically significant influence of gender, decrease of haemoglobin level during radiotherapy and higher T and N stages. Multivariant analysis demonstrated, that only locoregional status and treatment time has decisive importance on radiotherapy results. Thus, better results of treatment depend on lower T and N stages and correct radiotherapy time.
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Affiliation(s)
- A Wygoda
- I Klinika Radioterapii Centrum Onkologii-Instytut, Oddział w Gliwicach
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71
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Składowski K, Przeorek W, Mucha A, Goleń M, Pilecki B, Swiatnicka J. [The effectiveness of combined treatment for laryngeal cancer in Silesia region during the years 1987-1996]. Otolaryngol Pol 2001; 54 Suppl 31:37-9. [PMID: 10974839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
Between 1987-1996, 484 patients with laryngeal cancer were treated by surgery and adjuvant radiotherapy. The 25-30% therapeutic gain was noted when to compare the first period of the study (1987-1992) with the second (1993-1996). The increment of effectiveness of combined treatment for larynx cancer is probably the result of better quality of surgical procedures and individualization of radiation treatment.
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Affiliation(s)
- K Składowski
- Centrum Onkologii, Instytutu im. M. Skłodowskiej-Curie w Gliwicach
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72
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Składowski K, Maciejewski B, Goleń M, Miszczyk L, Przeorek W. [Unconventional accelerated irradiation of advanced pharyngolaryngeal cancer as an alternative treatment compare to surgery. The interim results of randomized clinical trial]. Otolaryngol Pol 2001; 54 Suppl 31:15-7. [PMID: 10974832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
The paper presents preliminary results (3 year tumour control and survival) of clinical randomized trial comparing accelerated fractionation (7 fx a week) with conventional (5 fx a week) radiotherapy (RT) for advanced pharyngo-laryngeal cancer. Significant treatment gain (p < 0.001) and good tolerance associated with accelerated RT was noted (82% of disease-free and 79% of overall survival). These results are similar with combined (total laryngectomy + postoperative RT) policy and, additionally, accelerated RT offers a high chance of larynx preservation.
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Affiliation(s)
- K Składowski
- Centrum Onkologii Instytutu im. M. Skłodowskiej-Curie w Gliwicach
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73
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Syguła M, Składowski K, Wydmański J, Sasiadek W, Wygoda A. [Comparison of natural history of squamous cell carcinoma and nondifferentiated carcinoma localized in oro- and nasopharynx]. Otolaryngol Pol 2001; 54 Suppl 31:286-90. [PMID: 10974908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
Aim of this study is comparison of natural history between two subtypes of cancer: squamous and undifferentiated, which were localised in oro- and nasopharynx. Analysis has contained 175 patients with undifferentiatied and 510 patients with squamous cell cancers of oro- and nasopharynx, who were treated in Centre of Oncology--Institute branch Gliwice in 1980-1998. Presence of undiferentiated subtypes were bounded with shortening time of presence the symptoms of disease, most frequent exophytic type of infiltration than in squamous cancer with ulcerative--necrotic type of infiltration. Higher aggressiveness of undifferentiated cancer is based on higher frequency of distant and nodal metastases, metastases to contralateral nodes and higher percentage of conglomerates.
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Affiliation(s)
- M Syguła
- I Klinika Radioterapii, Centrum Onkologii, Instytutu im. M. Skłodowskiej-Curie, Oddział w Gliwicach
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74
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Mucha A, Składowski K, Wygoda A, Sasiadek W, Goleń M, Przeorek W. [[Radical radiotherapy in patients with laryngeal cancer in clinical material of Institute Oncology in Gliwice treated in year 1990-1996]. Otolaryngol Pol 2001; 54 Suppl 31:40-4. [PMID: 10974840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
This paper presents influence of selected prognostic factors on results of laryngeal cancer radiotherapy used as the only treatment in 541 patients irradiated in Centre of Oncology-Institute in Gliwice between 1990-1996. The 3-year actuarial disease-free survival was 47.5% for supraglottic cancer and 67% for glottic cancer. Primary tumour localisation in glottis correlates with more favourable prognosis than that in supraglottic. For extralaryngeal involvement the most favourable prognosis was infiltration of cartilages and the worst one for the hypopharyngeal and oropharyngeal involvement. Pretreatment tracheostomy significantly correlates with the worst results.
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Affiliation(s)
- A Mucha
- I Klinika Radioterapii, Centrum Onkologii Instytutu im. M. Skłodowskiej-Curie Oddział w Gliwicach
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75
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Sasiadek W, Składowski K, Wygoda A, Mucha A, Pilecki B, Syguła M. [Head and neck lymph node metastases from unknown primary site]. Otolaryngol Pol 2001; 54 Suppl 31:258-61. [PMID: 10974901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
The aim of this paper was to evaluate the group of 50 patients with cervical nodes metastases from unknown primary site treated between 1980-1995 in Maria Sk_odowska-Curie Memorial Institute of Oncology in Gliwice. There were 42 males and 8 females ranging in age from 26 to 85 years (median 60). 24 patients underwent combined therapy (surgery with postoperative radiotherapy), 22 underwent radiotherapy. Only 4 patients were treated with surgery alone. 3-years DFS rates were 59% in group treated with combined method, and 10% in group treated only with radiation therapy (p = 0.003). After a median follow up of 39 months 10 primary tumors were discovered--8 in head and neck region, 2 in lower respiratory tracts. DFS rate in group with discovered primary tumors was 40%.
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Affiliation(s)
- W Sasiadek
- I Klinika Radioterapii, Centrum Onkologii Instytutu im. M. Skłodowskiej-Curie Oddział w Gliwicach
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76
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Goleń M, Składowski K, Wygoda A, Przeorek W, Pilecki B, Sygułe M, Kołosza Z. 38. The own experience in monitoring the late radiation reaction of criticual tissues in head and neck region. Rep Pract Oncol Radiother 2001. [DOI: 10.1016/s1507-1367(01)70408-7] [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: 11/16/2022] Open
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77
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Ślosarek K, Składowski K. 41. Estimation of dose distrubution according to dose volume histograms (DVH) in conformal radiotherapy. Rep Pract Oncol Radiother 2001. [DOI: 10.1016/s1507-1367(01)70411-7] [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] Open
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78
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Sąsiadek W, Pilecki B, Syguła M, Goleń M, Przeorek W, Mucha A, Wygoda A, Składowski K. 56. The role of external irradiation in postoperative treatment of soft tissue sarcomas – last decade of gliwice experience. Rep Pract Oncol Radiother 2001. [DOI: 10.1016/s1507-1367(01)70426-9] [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: 11/30/2022] Open
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79
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Rutkowski T, Sąsiadek W, Mucha A, Składowski K. 74. The rational for optimal combination of radiation therapy and Taxanes in organ preservation treatment of head and neck cancer – project of clinical study. Rep Pract Oncol Radiother 2001. [DOI: 10.1016/s1507-1367(01)70444-0] [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: 12/01/2022] Open
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80
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Miszczyk L, Tarnawski R, Składowski K. The impact of delivered dose errors on local control of irradiated advanced laryngeal cancer. Neoplasma 2000; 47:133-6. [PMID: 10985482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
On the basis of 1,015 entrance and 863 exit dose in vivo measurements, 863 calculations of midline dose were done, and the average deviation and ranges of its value were estimated. Data of 710 advanced larynx cancers were reviewed in order to achieve dose-response relationship. Patients data were fitted directly to L-Q model using maximum likelihood estimation. In 16.5% of measurements the deviation of midline dose was larger than -5.2%. A steep dose response relationship for TCP was found. Considering -5.2% deviation of 2 Gy fraction and 72 Gy of total dose, the 17% (from 48 to 31%) decrease of TCP was found. It shows that deviations of delivered dose influence the tumor control probability and that after systematic error finding during fractionated radiotherapy the value of remaining fraction size and total dose should be modified to compensate the change of TCP.
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Affiliation(s)
- L Miszczyk
- Radiotherapy Department, Institute of Oncology, M. Skłodowska-Curie Cancer Center, Glivice, Poland
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81
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Maciejewski A, Rembielak A, Składowski K. Impact of radical or non-radical surgery combined with postoperative radiotherapy of the oral cavity cancer on treatment outcome. Eur J Cancer 1999. [DOI: 10.1016/s0959-8049(99)81053-3] [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: 11/29/2022]
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82
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Goleń M, Składowski K, Maciejewski B. Comparative estimation of cure rates for supraglottic and glottic cancer in radiotherapy. Neoplasma 1999; 46:66-71. [PMID: 10355537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
There are some clinical evidences, that the same types of tumors originated from neighboring anatomical structures can significantly differ in their response to radiation therapy. Squamous cell cancer of supraglottis and glottis could be good examples of this phenomenon. The purpose of the study was to compare the radiocurability of cancers localized in the upper and medium level of the larynx. From 1985 to the end of 1989, 544 patients with squamous cell cancer of the larynx were treated by radiotherapy alone. There were 388 patients with supraglottic cancer and 156 patients with glottic cancer. The total dose was in the range of 59-74 Gy. The end-point criteria were overall (OS) and disease-free survival (DFS). Generally, 5-year overall and disease-free survival rates were significantly more favorable for glottic cancer patients than for supraglottic cancer (67 and 63% vs. 40 and 36%, respectively). Significant differences in both disease-free and overall survival between supraglottic and glottic cancer in aspect of several analyzed clinical prognostic factors were found for: male sex, age, pattern of tumor growth, clinical performance status, radiation total dose lower than 70 Gy, fraction doses and overall treatment time. In all these prognostic categories 5-year survival rates were lower for supraglottic cancer patients. This tendency disappeared when the treatment results were compared in aspect of tumor stage (T). Tumor cure doses for 50% probability of local control (TCD50) in supraglottic cancer were estimated as: 61 Gy (T(1+2)) and 66 Gy (T3). In glottic cancer the lower TCD50 values of 54.5 Gy (T(1+2)) and 61 Gy (T3) were found in comparable treatment time. The comparative estimation of cure rates (i.e. OS and DFS) of laryngeal cancer treated by radiation alone showed that in aspect of almost all analyzed prognostic factors the greater risk of treatment failure was significantly associated with supraglottic origin.
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Affiliation(s)
- M Goleń
- I Clinic of Radiotherapy, Centre of Oncology, Maria Sklodowska-Curie Memorial Institute, Gliwice, Poland
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83
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Sąsiadek W, Wygoda A, Składowski K, Rogoźińska J, Lange B, Mucha A, Syguła M. 67 Ocena skuteczności leczenia promieniami u chorych na miejscowo zaawansowanego raka sutka. Rep Pract Oncol Radiother 1999. [DOI: 10.1016/s1507-1367(99)70066-0] [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: 10/18/2022] Open
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84
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Goleń M, Składowski K, Wygoda A, Przeorek W, Syguła M, Wilczek G, Wygoda Z. 64 Wstępna ocena przydatności klinicznej dwóch systemów klasyfikacji (Dische i SOMA – LENT) późnych odczynów popromiennych wybranych tkanek zdrowych u chorych na nowotwory głowy i szyi leczonych promieniami. Rep Pract Oncol Radiother 1999. [DOI: 10.1016/s1507-1367(99)70063-5] [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: 11/30/2022] Open
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85
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Mucha A, Składowski K, Wygoda A, Sąsiadek W, Goleń M. 68 Radioterapia chorych na zaawansowanego raka krtani w materiale klinicznym Instytut Onkologii w Gliwicach w latach 1990-96. Rep Pract Oncol Radiother 1999. [DOI: 10.1016/s1507-1367(99)70067-2] [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: 11/25/2022] Open
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86
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Wygoda A, Składowski K, Mucha A, Sąsiadek W, Pilecki B, Zajusz A, Maciejewski B. Escalated hyperfractionation in radiotherapy for head and neck cancer – 5-year results. Rep Pract Oncol Radiother 1999. [DOI: 10.1016/s1507-1367(99)70313-5] [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: 11/25/2022] Open
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87
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Maciejewski A, Rutkowski T, Składowski K, Tarnawski R. [The effectiveness of radiotherapy and the prognostic value of Hb level for patients with early glottic cancer (T1N0, T2N0)]. Otolaryngol Pol 1998; 52:23-8. [PMID: 9591417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Effectiveness of radiotherapy as a sole treatment modality was analysed in a group of 225 patients with glottic cancer in stage T1 (153 patients) or T2 (72 patients) without metastases in regional neck lymph nodes. All patients were irradiated with gamma 60Co or 10 MeV photons 5 times per week conventional treatment with the dose of 2.0-2.5 Gy per fraction. The total dose was in the range of 60-70 Gy given in overall treatment time of 30-61 days. 3-year local control rate was 88% for T1 patients and 54% for T2. In group T1 total dose of 65-70 Gy correlated with a high, 94-100%, local rate whereas in group T2 for the same range of total dose, extension of overall treatment time beyond 45 days caused significant decrease in local tumour control of about 3% for each one day of treatment protraction. Moreover, the Hb level was found to be a significant prognostic factor and its value below 12 g/dl correlated with remarkably lower local control of glottic cancer of about 30% comparing with patients with Hb level above 12 g/dl.
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Affiliation(s)
- A Maciejewski
- I Klinika Radioterapii Centrum Onkologii Instytutu im. M. Skłodowskiej-Curie, Oddział w Gliwicach
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88
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Syguła D, Pilecki B, Syguła M, Składowski K. 59P Ocena skuteczności samodzielnej radioterapii u chorych na mięsaki tkanek miękkich kończyn. Rep Pract Oncol Radiother 1998. [DOI: 10.1016/s1507-1367(98)70265-2] [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: 11/16/2022] Open
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89
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Składowski K, Zajusz A, Tarnawski R, Maciejewski B. Radiobiological basis, incidence and kinetics of acute mucosal reaction after different fractionation schemes. ACTA ACUST UNITED AC 1996. [DOI: 10.1016/s1428-2267(96)70094-7] [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: 11/29/2022]
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90
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Składowski K, Zajusz A, Swiatnicka J, Maciejewska M, Krupska T, Majewski S, Szelc S, Swiecki J, Maciejewski B. [Prognostic factors in radiotherapy of supraglottic cancer]. Otolaryngol Pol 1996; 50:579-86. [PMID: 9173387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
In 971 patients with squamous cell carcinoma of supraglottic larynx several clinical and physical prognostic factors were evaluated. There were 55% of patients with advanced primary tumours and 71% of patients with no regional neck metastases. All patients were irradiated radically using external megavoltage beam. The total dose was in range 60-70 Gy for 95% of patients. The 3-year local control rate and 3-year overall in whole group were 41% and 50% respectively. Clinical stage, haemoglobin level at the end of treatment, overall treatment time, sex and total dose were estimated as an independent and important prognostic factors for the outcome in radiotherapy of supraglottic larynx cancer.
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Affiliation(s)
- K Składowski
- I Kliniki Radioterapii, Centrum Onkologii Instytutu im. Marii Skłodowskiej-Curie, Oddział w Gliwicach
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91
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Składowski K, Maciejewski B, Steel G. The effect of treatment gap: The isoeffect dose depends on gap position and duration. Eur J Cancer 1993. [DOI: 10.1016/0959-8049(93)91854-e] [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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