机构:[1]Hebei Med Univ, Dept Radiat Oncol, Hosp 4, Jiankang Rd 12, Shijiazhuang, Hebei, Peoples R China河北医科大学第四医院腹盆放疗病区临床科室[2]Hebei Med Univ, North China Petr Bur Gen Hosp, Dept Oncol, Renqiu, Peoples R China[3]Peking Union Med Coll & Chinese Acad Med Sci, Canc Inst & Hosp, Dept Radiotherapy, Beijing, Peoples R China
Purpose A previous study demonstrated that intracranial tumor volume had some correlation with gastrointestinal cancer patients' outcome. The aim of this study was to analyze patients with esophageal carcinoma (EC) and brain metastases to investigate if intracranial tumor volume would be a predictor of these patients' survival. Methods A total of 52 patients with brain metastases from esophageal squamous cell carcinoma or esophageal adenocarcinoma were retrospectively reviewed. Patients without images of brain metastases in the hospital information system were eliminated. Results The median follow-up time duration was 8.4 months (interquartile range 4.0-15.2). The median overall survival (OS) from time of brain metastases diagnosis was 8.0 months for all cases. Median OS of patients with small and large cumulative intracranial tumor volume (CITV) (<6.65 cm(3), >= 6.65 cm(3)) was 11.23 and 7.4 months, respectively. Median OS of patients with large and small largest intracranial tumor volume (LITV) (>= 7.75 cm(3), <7.75 cm(3)) was 6.4 and 10.6 months, respectively. Univariate analysis demonstrated that CITV (hazard ratio [HR] 1.255, 95% confidence interval [CI] 0.673-2.342, p = 0.475) or LITV (HR 1.037, 95% CI 0.570-1.887, p = 0.904) was not significantly associated with improved OS. Multivariate analysis demonstrated that CITV and LITV were not significantly associated with improved OS. Conclusion EC patients with small intracranial tumor volume may have longer OS than those with large intracranial tumor volume, but this difference did not reach statistical difference. Future studies with a larger sample size may validate the correlation of intracranial tumor volume and patient survival.
基金:
Beijing Hope Marathon Fund of China Cancer Foundation [LC2016W10]; Medical Science Research Key Projects of Hebei Provincial Department [ZD20140060]; Oncology Department of Hebei Medical University; Hebei Clinical Research Center for Radiation Oncology
第一作者机构:[1]Hebei Med Univ, Dept Radiat Oncol, Hosp 4, Jiankang Rd 12, Shijiazhuang, Hebei, Peoples R China
通讯作者:
通讯机构:[1]Hebei Med Univ, Dept Radiat Oncol, Hosp 4, Jiankang Rd 12, Shijiazhuang, Hebei, Peoples R China[*1]Department of Radiation Oncology, The Fourth Hospital of Hebei Medical University, Jiankang Road #12, Shijiazhuang, Hebei 050011, China.
推荐引用方式(GB/T 7714):
Xiao Linlin,Lin Qiang,Hu Mengzhu,et al.Could intracranial tumor volume predict prognosis of patients with brain metastases from esophageal carcinoma?[J].THORACIC CANCER.2022,13(8):1193-1198.doi:10.1111/1759-7714.14384.
APA:
Xiao, Linlin,Lin, Qiang,Hu, Mengzhu,Wang, Yi,Hui, Zhouguang...&Wang, Jun.(2022).Could intracranial tumor volume predict prognosis of patients with brain metastases from esophageal carcinoma?.THORACIC CANCER,13,(8)
MLA:
Xiao, Linlin,et al."Could intracranial tumor volume predict prognosis of patients with brain metastases from esophageal carcinoma?".THORACIC CANCER 13..8(2022):1193-1198