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Could intracranial tumor volume predict prognosis of patients with brain metastases from esophageal carcinoma?

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机构: [1]Hebei Med Univ, Dept Radiat Oncol, Hosp 4, Jiankang Rd 12, Shijiazhuang, Hebei, Peoples R China [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
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关键词: brain metastases esophageal carcinoma intracranial tumor volume overall survival

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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.

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基金编号: LC2016W10 ZD20140060

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出版当年[2022]版:
大类 | 3 区 医学
小类 | 3 区 肿瘤学 3 区 呼吸系统
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学 4 区 呼吸系统
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出版当年[2022]版:
Q3 ONCOLOGY Q3 RESPIRATORY SYSTEM
最新[2023]版:
Q2 RESPIRATORY SYSTEM Q3 ONCOLOGY

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第一作者机构: [1]Hebei Med Univ, Dept Radiat Oncol, Hosp 4, Jiankang Rd 12, Shijiazhuang, Hebei, Peoples R China
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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.
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