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1 비인강암의방사선치료결과및생존율에관한예후인자분석 :, Tel: 053) , Fax: 053)

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3 정영연외 2 인 : 비인강암의예후인자분석

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5 정영연외 2 인 : 비인강암의예후인자분석

6 Carcinoma of the nasopharynx treated by radiotherapy alone: determinants of distant metastasis and survival. Radiother Oncol 1997; 43:53-61 Prognostic value of Chinese race in Nasopharyngeal cancer. Int J Radiat Oncol Biol Phys 2002;54: Significant prognosticators after primary radiotherapy in 903 nondisseminated nasopharyngeal carcinoma evaluated by computer tomography. Int J Radiat Oncol Biol Phys 1996;36: Clinical study of malignant tumors of the nasopharynx. Korean J Otolaryngolo 1989; 32: Prognostic factors affecting the outcome of nasopharyngeal carcinoma. Jpn J Clin Oncol 2003;33: Prognostic factors and outcome for nasopharyngeal carcinoma. Arch Otolaryngol Head Neck Surg 2003;129: Radiotherapy for nasopharyngeal carcinoma. J of Korean Soc for Ther Rad and Onc 2003;21: Patterns of failure following radiation with and without chemotherapy in patients with nasopharyngeal carcinoma. Onkologie 2003;26:12-18 Concurrent chemotherapy and radiation therapy for advanced stage carcinoma of the nasopharynx. Int J Radiat Oncol Biol Phys 2000;48: Prognostic features and treatment outcome in patients with nasopharyngeal carcinoma: an experience of 20 years. Anticancer Res 2001;21: Prognostic factor of nasopharyngeal carcinoma: a multivariate analysis. Int J Radiat Oncol Biol Phys 1990;19: Carcinoma of nasopharynx treated by radiotherapy alone: determinants of local and regional control. Int J Radiat Oncol Bio Phys 1997; 37: Radiation therapy of nasopharyngeal carcinoma: prognostic factors based on a 10- year follow-up of 1,302 patients. Int J Radiat Oncol Biol Phys 1989;16: Nasopharyngeal carcinoma: treatment results with primary radiation therapy. Laryngoscope 1992;102: Analysis of failures after definitive irradiation for epidermoid carcinoma of the nasopharynx. Cancer 1980;45: Nasopharyngeal carcinomas: analysis of patient, tumor and treatment characteristics determining outcome. Radiother Oncol 2001;61: An analysis on factors affecting local control and survival in nasopharyngeal carcinoma. J of Korean Soc for Ther Rad and Onc 1999; 17:91-99 Retrospective analysis of 5,037 patients with nasopharyngeal carcinoma treated during : overall survival and patterns of failure. Int J Radiat Oncol Biol Phys 1992;23: Carcinoma of the nasopharynx: factors affecting prognosis. Int J Radiat Oncol Biol Phys 1992;23: Prognostic factors for local control in nasopharyngeal cancer (NPC): analysis by multivariate proportional hazard models. Radiother Oncol 1991; 21: Intensity-modulated radiotherapy in the treatment of nasopharyngeal carcinoma: an update of the UCSF experience. Int J Radiat Oncol Biol Phys

7 정영연외 2 인 : 비인강암의예후인자분석 2002;53:12-22 Stereotactic radiosurgical boost following radiotherapy in primary nasopharyngeal carcinoma: impact on local control. Int J Radiat Oncol Biol Phys 1999;45: Three-dimensional intensity-modulated radiotherapy in the treatment of nasopharyngeal carcinoma: the University of California-San Francisco experience. Int J Radiat Oncol Biol Phys 2000;48: Neoadjuvant chemotherapy and radiation therapy compared with radiation therapy alone in advanced nasopharyngeal carcinoma. Int J Radiat Oncol Biol Phys 1999;45: Results of a prospective randomized trial comparing neochemotherapy plus radiotherapy with radiotherapy alone patients with locoregionally advanced nasopharyngeal carcinoma. J Clin Oncol 2001;19: Concurrent chemotherapy-radiotherapy compared with radiotherapy alone in locoregioally advanced nasopharyngeal carcinoma: progression- free survival analysis of a phase III radomized trial. J Clin Oncol 2002;15:20: Phase III study of concurrent chemoradiotherapy versus radiotherapy alone for advanced nasopharyngeal carcinoma: positive effect on overall and progression-free survival. J Clin Oncol 2003;21: Nasopharyngeal carcinomas: an update. Eur J Cancer 2003;39: Chemoradiotherapy versus radiotherapy in patients with advanced nasopharyngeal cancer: phase III randomized Intergroup study J Clin Oncol 1998;16: An Analysis of Prognostic Factors Affecting the Outcome of Radiation Therapy for Nasopharyngeal Carcinoma Department of Radiation Oncology, Keimyung University School of Medicine, Daegu, Korea Purpose: This retrospective study was conducted to analyze the treatment results and to evaluate the prognostic factors affecting the survival of nasopharyngeal carcinoma patients. Materials and Methods: From 1987 to 2002, we analyzed 43 patients who had nasopharyngeal carcinomas that were histologically confirmed and who had also completed the planned radiation therapy course at Keimyung University Dongsan Medical Center. According to the 6th edition of American Joint Committee on Cancer staging system, 12 patients (27.9%) were at Stage II, 13 (30.2%) were at Stage III and 18 (41.9%) were at Stage IV. Histopathologically, there were 15 (34.9%) squamous cell carcinomas, 8 (18.6%) nonkeratinizing carcinomas, 17 (39.5%) undifferentiated carcinomas, and 3 (7.0%) lymphoepitheliomas. Among the total 43 patients, 31 patients (72.1%) were treated with only radiation therapy. Neoadjuvant chemotherapy was performed on 7 patients (16.3%) and concurrent chemoradiotherapy was performed on 5 patients (11.6%). Cisplatin and 5-Fluorouracil were administered to 11 patients for 4 cycles, and Cisplatin and Taxotere were administered to 1 patient for 6 cycles. The range of the total radiation dose delivered to the primary tumor was from 61.2 to 84 Gy (median 70.4 Gy). The follow-up period ranged from 2 to 197 months with median follow-up of 84 months. Results: The local control rate at 6 months after radiation therapy was 90.7%. The five year overall survival and disease free survival rates were 50.7% and 48.9%, respectively. On the multivariate analysis, the age, T-stage (T 1-3 vs T 4), N-stage and AJCC stage were the statistically significant prognostic factors affecting survival (p 0.05). The patterns of failure were as follows: local failure only in 3 patients (7.0%), local and systemic failure in 1 patient (2.3%), and distant metastasis only in 11 patients (25.6%). Conclusion: The prognostic factors affecting the outcome of nasopharyngeal carcinoma were age, T-stage (T 1-3 vs T 4), N-stage and stage. Because systemic metastasis was the main failure pattern noted for nasopharyngeal carcinoma, systemic chemotherapy is needed to decrease the rate of distant metastasis for nasopharyngeal carcinoma. In addition, research for more effective chemotherapeutical regimens and schedules is also needed. Nasopharyngeal carcinoma, Radiation therapy, Survival rate, Prognostic factor

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untitled DOI: 10.3857/JKSTRO.2008.26.2.113 노령의 피부암에서 방사선치료 계명대학교 의과대학 동산의료원 방사선종양학교실 김 진 희 목 적: 노령의 피부암에서 방사선치료 후 국소 제어률, 생존율, 실패양상, 부작용을 알아보기 위해 이 연구를 시행 하였다. 대상 및 방법: 1990년 1월부터 2002년 10월까지 계명대학교 동산의료원 방사선종양학과에서

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