The efficacy of radiotherapy in perianal intraepithelial neoplasia grade 3

OBJECTIVE: To determine the efficacy of radiotherapy in the local control of Perianal Intraepithelial Neoplasia Grade 3 at a single institution. PATIENTS AND METHODS: This retrospective case series consists of 30 patients treated with local radiotherapy (RT) at the British Columbia Cancer Agency be...

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Main Authors: H. Joe, T. Mitchell, P. Truong
Format: Article
Language:English
Published: Verduci Editore 2021-05-01
Series:World Cancer Research Journal
Subjects:
Online Access:https://www.wcrj.net/wp-content/uploads/sites/5/2021/05/e1963.pdf
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author H. Joe
T. Mitchell
P. Truong
author_facet H. Joe
T. Mitchell
P. Truong
author_sort H. Joe
collection DOAJ
description OBJECTIVE: To determine the efficacy of radiotherapy in the local control of Perianal Intraepithelial Neoplasia Grade 3 at a single institution. PATIENTS AND METHODS: This retrospective case series consists of 30 patients treated with local radiotherapy (RT) at the British Columbia Cancer Agency between 1997 and 2017. Chart review was performed to abstract data on patient and treatment characteristics. Outcomes evaluated were local control and survival. RESULTS: Of the 30 patients, 5 had local failure, 3 as recurrent in-situ disease, and 2 as invasive disease. Only 1 recurrence occurred before 5 years. Radiotherapy doses ranged from 42.5 – 60 Gy. The actuarial 5 and 10 year local control rates were 96% and 51%, respectively. 3 patients had a treatment break due to acute RT reaction. Of 6 recorded deaths, none was due to anal disease. CONCLUSIONS: Moderate dose local RT is associated with excellent local control of Perianal Intraepithelial Neoplasia Grade 3 with minimal acute toxicity.
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spelling doaj.art-c3dcf726f8e148cbbfdcb69271f8e8d32022-12-21T18:35:58ZengVerduci EditoreWorld Cancer Research Journal2372-34162021-05-01810.32113/wcrj_20215_19631963The efficacy of radiotherapy in perianal intraepithelial neoplasia grade 3H. Joe0T. Mitchell1P. Truong2Department of Radiation Oncology, University of British Columbia, BC Cancer, Victoria, CanadaDepartment of Radiation Oncology, University of British Columbia, BC Cancer, Victoria, CanadaDepartment of Radiation Oncology, University of British Columbia, BC Cancer, Victoria, CanadaOBJECTIVE: To determine the efficacy of radiotherapy in the local control of Perianal Intraepithelial Neoplasia Grade 3 at a single institution. PATIENTS AND METHODS: This retrospective case series consists of 30 patients treated with local radiotherapy (RT) at the British Columbia Cancer Agency between 1997 and 2017. Chart review was performed to abstract data on patient and treatment characteristics. Outcomes evaluated were local control and survival. RESULTS: Of the 30 patients, 5 had local failure, 3 as recurrent in-situ disease, and 2 as invasive disease. Only 1 recurrence occurred before 5 years. Radiotherapy doses ranged from 42.5 – 60 Gy. The actuarial 5 and 10 year local control rates were 96% and 51%, respectively. 3 patients had a treatment break due to acute RT reaction. Of 6 recorded deaths, none was due to anal disease. CONCLUSIONS: Moderate dose local RT is associated with excellent local control of Perianal Intraepithelial Neoplasia Grade 3 with minimal acute toxicity.https://www.wcrj.net/wp-content/uploads/sites/5/2021/05/e1963.pdfperianal intraepithelial neoplasiaradiotherapylocal control
spellingShingle H. Joe
T. Mitchell
P. Truong
The efficacy of radiotherapy in perianal intraepithelial neoplasia grade 3
World Cancer Research Journal
perianal intraepithelial neoplasia
radiotherapy
local control
title The efficacy of radiotherapy in perianal intraepithelial neoplasia grade 3
title_full The efficacy of radiotherapy in perianal intraepithelial neoplasia grade 3
title_fullStr The efficacy of radiotherapy in perianal intraepithelial neoplasia grade 3
title_full_unstemmed The efficacy of radiotherapy in perianal intraepithelial neoplasia grade 3
title_short The efficacy of radiotherapy in perianal intraepithelial neoplasia grade 3
title_sort efficacy of radiotherapy in perianal intraepithelial neoplasia grade 3
topic perianal intraepithelial neoplasia
radiotherapy
local control
url https://www.wcrj.net/wp-content/uploads/sites/5/2021/05/e1963.pdf
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