Universität zu Köln

Von Einem, Jobst C., Stintzing, Sebastian, Modest, Dominik P., Wiedemann, Michael, Furweger, Christoph and Muacevic, Alexander (2020). Frameless Single Robotic Radiosurgery for Pulmonary Metastases in Colorectal Cancer Patients. Cureus, 12 (3). PALO ALTO: CUREUS INC. ISSN 2168-8184

Full text not available from this repository.

Abstract

Background Surgical intervention and radiation therapy are common approaches for pulmonary metastasectomy. The role of minimally invasive techniques in pulmonary metastases remains unclear. Frameless single robotic radiosurgery [CyberKnife (CK); Accuray Incorporated, Sunnyvale, CA] of pulmonary metastases in colorectal cancer (CRC) patients offers high precision local radiation therapy. Methods We analyzed the efficacy and safety of CK treatment for lung metastases in CRC in 34 patients and a total of 45 lesions. The primary endpoint was local control (LC); secondary endpoints were progression-free survival (PFS), overall survival (OS), distant control (DC), and safety-relevant events. Results Of the treated lesions, 34/45 (77.8%) decreased in size or remained unchanged [complete response (CR), partial response (PR), stable disease (SD)]; 8/45 (17.8%) lesions increased in size [progressive disease (PD)] and 2/45 (4.4%) lesions were not evaluable. Local progression was shown in 2 lesions (4.4 %). The median PFS period was six months. In a median follow-up time of 19.4 months, medium OS was 19.9 months (range: 3-61 months). Distant recurrence was observed in 21/34 patients (61.8 %). Intrapulmonary progression occurred in six patients. In 4/45 cases, fiducial placement led to a pneumothorax; three out of four patients needed chest tube insertion. No radiation-associated side effects were reported in 57.8% of patients. In 10/45 cases (22.2%), patients suffered asymptomatic radiographic changes; 7/45 cases (15.6%) reported a late onset of radiation-associated side effects. Maximal radiation-associated side effects reached the Radiation Therapy Oncology Group/European Organization for Research and Treatment of Cancer (RTOG/EORTC) Grade 1. Conclusion CK treatment of pulmonary metastases is safe and well-tolerated. For metastatic colorectal cancer (mCRC) patients with pulmonary metastases and not eligible for surgery, CK radiation offers a valuable treatment option.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Von Einem, Jobst C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Stintzing, Sebastian UNSPECIFIED UNSPECIFIED UNSPECIFIED Modest, Dominik P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Wiedemann, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Furweger, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Muacevic, Alexander UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-340637
DOI:	10.7759/cureus.7305
Journal or Publication Title:	Cureus
Volume:	12
Number:	3
Date:	2020
Publisher:	CUREUS INC
Place of Publication:	PALO ALTO
ISSN:	2168-8184
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language BODY RADIATION-THERAPY; PHASE I/II TRIAL; RADIOTHERAPY; RESECTION; MANAGEMENT; SURVIVAL; TUMORS; COLON Multiple languages Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/34063