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  1. 学部学科区分一覧
  2. 医学部・医学系研究科・医学部附属病院
  1. 資料タイプ一覧
  2. 学術雑誌論文
  1. 鳥取大学の刊行物
  2. Yonago Acta Medica
  3. 68
  4. 1

Comparison of the Survivals and Adverse Events for Localized High-Risk Prostate Cancer Treated with Intensity-Modulated Radiotherapy Plus Androgen Deprivation and Trimodality Therapy, Including Low-Dose Iodine-125 Brachytherapy and External Beam Radiotherapy Plus Androgen Deprivation

https://repository.lib.tottori-u.ac.jp/records/2001799
https://repository.lib.tottori-u.ac.jp/records/2001799
9f290e99-9a7a-4fd2-b2e9-69d08296ee50
名前 / ファイル ライセンス アクション
yam68(1)_12.pdf yam68(1)_12.pdf (1.5 MB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2025-02-21
タイトル
タイトル Comparison of the Survivals and Adverse Events for Localized High-Risk Prostate Cancer Treated with Intensity-Modulated Radiotherapy Plus Androgen Deprivation and Trimodality Therapy, Including Low-Dose Iodine-125 Brachytherapy and External Beam Radiotherapy Plus Androgen Deprivation
言語 en
言語
言語 eng
キーワード
言語 en
主題 adverse events
キーワード
言語 en
主題 I-125 brachytherapy
キーワード
言語 en
主題 intensity-modulated radiotherapy
キーワード
言語 en
主題 localized prostate cancer
キーワード
言語 en
主題 trimodality
資源タイプ
資源タイプ journal article
アクセス権
アクセス権 open access
著者 北川,寛

× 北川,寛

e-Rad_Researcher 70814789

en Kitagawa,Yutaka
Tottori University

ja 北川,寛
kakenhi 鳥取大学 15101

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吉田,賢史

× 吉田,賢史

研究者総覧鳥取大学 100002244_ja.html
e-Rad_Researcher 80351906

en Yoshida,Kenji
Tottori University

ja 吉田,賢史
kakenhi 鳥取大学 15101

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竹内,有樹

× 竹内,有樹

研究者総覧鳥取大学 100002370_ja.html

en Takeuchi,Yuuki
Tottori University

ja 竹内,有樹
kakenhi 鳥取大学 15101

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Tanino,Tomohiko

× Tanino,Tomohiko

en Tanino,Tomohiko

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坂口,弘美

× 坂口,弘美

e-Rad_Researcher 00772287

en Sakaguchi,Hiromi
Tottori University

ja 坂口,弘美
kakenhi 鳥取大学 15101

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清水,龍太郎

× 清水,龍太郎

研究者総覧鳥取大学 100002409_ja.html
e-Rad_Researcher 60813665

en Shimizu,Ryutaro
Tottori University

ja 清水,龍太郎
kakenhi 鳥取大学 15101

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山口,徳也

× 山口,徳也

研究者総覧鳥取大学 100001625_ja.html

en Yamaguchi,Noriya
Tottori University

ja 山口,徳也
kakenhi 鳥取大学 15101

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森實,修一

× 森實,修一

研究者総覧鳥取大学 100000269_ja.html
e-Rad_Researcher 50419496

en Morizane,Shuichi
Tottori University

ja 森實,修一
kakenhi 鳥取大学 15101

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武中,篤

× 武中,篤

研究者総覧鳥取大学 100000180_ja.html
e-Rad_Researcher 50368669

en Takenaka,Atsushi
Tottori University

ja 武中,篤
kakenhi 鳥取大学 15101

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抄録
内容記述タイプ Other
内容記述 Background: To evaluate and compare the survivals and radiotherapy-induced adverse events (AEs) of intensity-modulated radiotherapy (IMRT) with androgen deprivation therapy (ADT) and trimodality therapy, including low-dose iodine-125 brachytherapy, external beam radiotherapy, and ADT, for high-risk localized prostate cancer (LPC). Methods: High-risk patients with LPC at T stage ≥ 3a,Gleason score ≥ 8, and initial prostate-specific antigen ≥20.0 ng/mL treated between 2010 and 2021 were retrospectively evaluated. All the patients were treated with IMRT plus ADT or trimodality therapy. In both groups, ADT was initiated 6 months before and continued for 2 years after radiotherapy. Survival and acute and late radiation-induced AEs were evaluated and compared. Results: Two hundred and thirty-eight patients were treated with IMRT, and 91 underwent trimodality. Five-and 7-year biochemical-clinical failure-free survival (BCFFS) rates in the IMRT/trimodality group were 94.9/96.2, and 91.8/91.5%, respectively (P = 0.511). Stratified by 1–2/3 factors, 5- and 7-year BCFFS rates in the IMRT groups were 95.8/91.8, and 95.8/75.6%,respectively (P = 0.009). Five and 7-year BCFFS rates in the trimodality group were 96.8/94.1, and 91.4/94.1%, respectively (P = 0.995). The cumulative 3-/5-year incidence of late genitourinary AEs in the IMRT/trimodality group was 7.3/8.4, and 15.5/16.9%, respectively(P = 0.037), and the cumulative 3-/5-year incidence of late gastrointestinal AEs was 2.2/3.4, and 11.0/12.2%, respectively (P = 0.001). Thirty patients (9.1%) could not complete long-term ADT. Conclusion: Treatment results of both IMRT and trimodality were considered to be good, and our results also indicated that the long-term survival of unfavorable high-risk patients with LPC who had three risk factors was poor in the IMRT group. Further treatment experience of both modalities must be accumulated with more appropriate patient allocations.
言語 en
書誌情報 en : Yonago Acta Medica

巻 68, 号 1, p. 12-21, ページ数 10, 発行日 2025-02-21
出版者
出版者 Tottori University Medical Press
言語 en
ISSN
収録物識別子タイプ PISSN
収録物識別子 05135710
ISSN
収録物識別子タイプ EISSN
収録物識別子 13468049
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA00892882
権利
言語 en
権利情報 (C) 2025 Tottori University Medical Press
情報源
言語 en
関連名称 Yutaka Kitagawa, Kenji Yoshida, Yuuki Takeuchi, Tomohiko Tanino, Hiromi Sakaguchi, Ryutaro Shimizu, Noriya Yamaguchi, Shuichi Morizane, Atsushi Takenaka. Comparison of the Survivals and Adverse Events for Localized High-Risk Prostate Cancer Treated with Intensity-Modulated Radiotherapy Plus Androgen Deprivation and Trimodality Therapy, Including Low-Dose Iodine-125 Brachytherapy and External Beam Radiotherapy Plus Androgen Deprivation. Yonago Acta Medica, 2025, 68(1), 12-21, doi: https://doi.org/10.33160/yam.2025.02.002
関連サイト
識別子タイプ DOI
関連識別子 https://doi.org/10.33160/yam.2025.02.002
関連名称 https://doi.org/10.33160/yam.2025.02.002
関連サイト
識別子タイプ URI
関連識別子 https://www.lib.tottori-u.ac.jp/yam/yam/yam68-1/68-1contents.html
関連名称 https://www.lib.tottori-u.ac.jp/yam/yam/yam68-1/68-1contents.html
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出版タイプ VoR
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