Evidence map›Paper›PMID 39409981›Full record

ArticleCancers2024

Tolerability and Safety Assessment of Adjuvant Chemoradiotherapy with S-1 after Limited Surgery for T1 or T2 Lower Rectal Cancer.

Norikatsu Miyoshi, Mamoru Uemura, Shingo Noura, Masayoshi Yasui, Junichi Nishimura, Mitsuyoshi Tei, Chu Matsuda, Shunji Morita, Akira Inoue, Hiroki Tamagawa and 11 more

Abstract read
In one paragraph

Article in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

21 authors.

Norikatsu MiyoshiDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan.
Mamoru UemuraDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan.ORCID 0000-0001-6285-5619
Shingo NouraDepartment of Surgery, Sakai City Medical Center, Sakai 593-8304, Japan.
Masayoshi YasuiDepartment of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka 541-8567, Japan.
Junichi NishimuraDepartment of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka 541-8567, Japan.
Mitsuyoshi TeiDepartment of Surgery, Osaka Rosai Hospital, Osaka 252-3561, Japan.
Chu MatsudaDepartment of Surgery, Osaka Police Hospital, Osaka 543-0035, Japan.ORCID 0000-0001-9816-1125
Shunji MoritaDepartment of Surgery, Itami Municipal Hospital, Itami 664-0015, Japan.
Akira InoueDepartment of Gastroenterological Surgery, Osaka General Medical Center, Osaka 558-8558, Japan.
Hiroki TamagawaDepartment of Gastroenterological Surgery, Otemae Hospital, Osaka 540-0008, Japan.
Yukako MokutaniDepartment of Surgery, Higashiosaka City Medical Center, Higashiosaka 578-8588, Japan.
Shinichi YoshiokaDepartment of Surgery, Yao Municipal Hospital, Yao 581-0069, Japan.
Makoto FujiiDepartment of Mathematical Health Science, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan.ORCID 0000-0003-4436-7456
Shinya KatoDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan.
Yuki SekidoDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan.
Takayuki OginoDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan.
Hirofumi YamamotoDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan.
Kohei MurataDepartment of Gastroenterological Surgery, Kansai Rosai Hospital, Amagasaki 660-0064, Japan.
Yuichiro DokiDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan.
Hidetoshi EguchiDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan.
Multicenter Clinical Study Group of Osaka University, Colorectal Group (CSGO-CG)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe short-term outcomes of chemoradiotherapy (CRT) with S-1 (a combination of tegafur, gimeracil, and oteracil) following limited surgery for patients with T1 or T2 lower rectal cancer have shown encouraging results.

objectivesThis study was designed to delve deeper into the long-term outcomes of CRT with S-1 after limited surgery, with the goal of evaluating both the long-term efficacy and potential risks associated with this treatment approach in patients diagnosed with T1 or T2 lower rectal cancer.

methodsThis was conducted as a multicenter, single-arm, prospective phase II trial. The patient population consisted of individuals clinically diagnosed with either T1 or T2 lower rectal or anal canal cancer, with a maximum tumor diameter of 30 mm and classified as N0 or M0. Patients underwent local excision or endoscopic resection. After surgery, CRT with S-1 was administered to patients meeting several criteria, including the confirmation of well-differentiated or moderately differentiated adenocarcinoma, negative surgical margins, submucosal invasion depth of ≥1000 µm, and high tumor-budding grade (2/3). The primary endpoint of this study was relapse-free survival, while secondary endpoints included local recurrence-free survival, overall survival, anal sphincter preservation rate, and safety.

resultsA total of 52 patients were included, with pathological diagnoses revealing T1 in 36 patients and T2 in 16 patients. The 3-year and 5-year relapse-free survival rates were 90.17% and 85.87%, respectively. The 3-year and 5-year local recurrence-free survival rates were 90.17% and 88.07%, respectively, while the 3-year and 5-year overall survival rates were 94.03% and 91.94%, respectively.

conclusionsCRT with S-1 after limited surgery for T1 lower rectal cancer demonstrated favorable outcomes in terms of recurrence, survival, and local control rates while effectively maintaining anal function in patients. However, further treatment approaches may be necessary to improve outcomes for patients diagnosed with stage T2 lower rectal cancer.

Indexed as

adjuvant chemoradiotherapyearly rectal cancerlocal excision

Identifiers

PMID39409981
PMCPMC11475741

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