Evidence map›Paper›PMID 37103111›Full record

ArticleIn vivo (Athens, Greece)

Clinical Impact of Proton Beam Therapy for Postoperative Lymph Node Oligorecurrence of Esophageal Cancer.

Yuichi Hiroshima, Hitoshi Ishikawa, Taisuke Sumiya, Motohiro Murakami, Masatoshi Nakamura, Toshiki Ishida, Koichi Ogawa, Katsuji Hisakura, Masashi Mizumoto, Tatsuya Oda and 2 more

Abstract read
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Yuichi HiroshimaDepartment of Radiation Oncology, Proton Medical Research Center, Faculty of Medicine, University of Tsukuba Hospital, Tsukuba, Japan; hiroshima@pmrc.tsukuba.ac.jp.
Hitoshi IshikawaDepartment of Radiation Oncology, Proton Medical Research Center, Faculty of Medicine, University of Tsukuba Hospital, Tsukuba, Japan.
Taisuke SumiyaDepartment of Radiation Oncology, Proton Medical Research Center, Faculty of Medicine, University of Tsukuba Hospital, Tsukuba, Japan.
Motohiro MurakamiDepartment of Radiation Oncology, Proton Medical Research Center, Faculty of Medicine, University of Tsukuba Hospital, Tsukuba, Japan.
Masatoshi NakamuraDepartment of Radiation Oncology, Proton Medical Research Center, Faculty of Medicine, University of Tsukuba Hospital, Tsukuba, Japan.
Toshiki IshidaDepartment of Radiation Oncology, Proton Medical Research Center, Faculty of Medicine, University of Tsukuba Hospital, Tsukuba, Japan.
Koichi OgawaDepartment of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Katsuji HisakuraDepartment of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Masashi MizumotoDepartment of Radiation Oncology, Proton Medical Research Center, Faculty of Medicine, University of Tsukuba Hospital, Tsukuba, Japan.
Tatsuya OdaDepartment of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Toshiyuki OkumuraDepartment of Radiation Oncology, Proton Medical Research Center, Faculty of Medicine, University of Tsukuba Hospital, Tsukuba, Japan.
Hideyuki SakuraiDepartment of Radiation Oncology, Proton Medical Research Center, Faculty of Medicine, University of Tsukuba Hospital, Tsukuba, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimRadiotherapy is a salvage therapy type for postoperative recurrence of esophageal cancer. Compared to conventional photon-based radiotherapy, proton beam therapy can reduce the irradiated dose to the surrounding organs, facilitating the management of patients who are unfit for radiotherapy. In this study, the outcomes and toxicity of proton beam therapy for postoperative lymph node oligorecurrence of esophageal cancer were investigated. PATIENTS AND

methodsWe retrospectively evaluated the clinical outcomes and toxicity of 13 sites in 11 patients treated with proton beam therapy for postoperative lymph node oligorecurrence of esophageal cancer. In total, eight men and three women with a median age of 68 years (range=46-83 years) were included.

resultsThe median follow-up period was 20.2 months. During the follow-up period, four patients died of esophageal cancer. Eight of the 11 patients developed recurrence; of these, seven patients had recurrence outside the irradiated field, and one had recurrence inside and outside the irradiated field. The 2-year overall survival, progression-free survival, and local control rates were 48.0%, 27.3%, and 84.6%, respectively. The median survival time was 22.4 months. There were no severe acute or late adverse events.

conclusionProton beam therapy could be a safe and effective treatment method for postoperative lymph node oligorecurrence of esophageal cancer. It may be beneficial even in cases where conventional photon-based radiotherapy is difficult to administer in combination with increased doses or with chemotherapy.

Indexed as

Esophageal NeoplasmsProton TherapyAgedAged, 80 and overFemaleHumansLymph NodesMaleMiddle AgedNeoplasm Recurrence, LocalRetrospective StudiesTreatment OutcomeEsophageal canceroligometastasisproton beam therapyradiotherapysalvage therapy

Identifiers

PMID37103111
PMCPMC10188010

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.