Back to Search
Start Over
Surgery Alone Versus Surgery Followed by Chemotherapy and Radiotherapy in Resected Extrahepatic Bile Duct Cancer: Treatment Outcome Analysis of 336 Patients
- Source :
- Cancer Research and Treatment : Official Journal of Korean Cancer Association
- Publication Year :
- 2015
- Publisher :
- Korean Cancer Association, 2015.
-
Abstract
- PURPOSE This study analyzed the outcomes of patients with resected extrahepatic bile duct cancer (EHBDC) in order to clarify the role of adjuvant treatments in these patients. MATERIALS AND METHODS A total of 336 patients with EHBDC who underwent curative resection between 2001 and 2010 were analyzed retrospectively. The treatment types were as follows: surgery alone (n=168), surgery with chemotherapy (CTx, n=90), surgery with radiotherapy (RT) alone (n=29), and surgery with chemoradiotherapy (CRT, n=49). RESULTS The median follow-up period was 63 months. The 5-year rates of locoregional failure-free survival (LRFFS), distant metastasis-free survival (DMFS), progression-free survival (PFS), and overall survival (OS) for all patients were 56.5%, 59.7%, 36.6%, and 42.0%, respectively. In multivariate analysis, surgery with RT and CRT was a significant prognostic factor for LRFFS, and surgery with CTx was a significant prognostic factor for DMFS, and surgery with CTx, RT, and CRT was a significant prognostic factor for PFS (p < 0.05). Surgery with CTx and CRT showed association with superior OS (p < 0.05), and surgery with RT had marginal significance (p=0.078). In multivariate analysis of the R1 resection patients, surgery with CRT showed significant association with OS (p < 0.05). CONCLUSION Adjuvant RT and CTx may be helpful in improving clinical outcomes of patients with resected EHBDC who have a high risk of disease recurrence, particularly R1 resection patients. Conduct of additional prospective, larger-scale studies will be required in order to confirm the benefit of adjuvant RT and CTx in these patients.
- Subjects :
- Adult
Male
Cancer Research
medicine.medical_specialty
Multivariate analysis
Survival
medicine.medical_treatment
Treatment outcome
Extrahepatic bile duct cancer
Cholangiocarcinoma
03 medical and health sciences
0302 clinical medicine
Pharmacotherapy
Bile Ducts, Extrahepatic
medicine
Humans
Aged
Retrospective Studies
Aged, 80 and over
Chemotherapy
business.industry
Middle Aged
Survival Analysis
Surgery
Radiation therapy
Biliary Tract Neoplasms
Treatment Outcome
Oncology
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
Original Article
Female
Adjuvant radiotherapy
Drug therapy
business
Adjuvant
Chemoradiotherapy
Subjects
Details
- Language :
- English
- ISSN :
- 20059256 and 15982998
- Volume :
- 48
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Cancer Research and Treatment : Official Journal of Korean Cancer Association
- Accession number :
- edsair.doi.dedup.....85ebc89c7526ee14465e1a44eb82efd7