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- W2896575493 abstract "To report our institutional experience utilizing stereotactic body radiation therapy (SBRT) for patients with oligometastatic or oligoprogressive colorectal cancer (CRC). Following institutional review board approval, a retrospective chart review was performed to identify patients with oligometastatic or oligoprogressive CRC who received metastasis-directed SBRT. Patient characteristics, treatment characteristics, and oncologic outcomes were collected. Overall survival (OS) from end of first SBRT and local control (LC) were estimated using Kaplan-Meier methods and cumulative incidences, respectively. A total of 85 patients (31 male, 54 female) and 107 lesions were treated between 2008 and 2017. Median follow-up was 20 months (interquartile range [IQR] 10, 41). Median age was 62 (IQR 53, 70). The primary tumor site was colon (63%) or rectum (37%). Forty-one (48%) patients were diagnosed with metastatic disease at initial disease diagnosis. At metastatic diagnosis, most patients were found to have ≤5 metastatic lesions (93%), with most having involvement of 1 (83%) or 2 (14%) organs. Median time from development of metastasis to SBRT was 30 months (IQR 15, 52). All patients received chemotherapy prior to first SBRT. The majority (84%) of patients received other modalities of metastasis-directed local therapy prior to SBRT, including surgery (66%), ablative procedure (34%), conventional palliative dose radiotherapy (RT) (21%), or embolization (2%). Median lesion size treated with SBRT was 2.2 cm (IQR 1.4, 3.8). Table 1 demonstrates the distribution of lesions, 3-year OS, site-specific treatment information, and 3-year LC outcomes. Variables associated with local recurrence were lower biologically effective dose (assuming an α/β = 10, BEDGy10) (HR 0.89, 95% CI 0.80 – 0.99) and larger lesion size (HR 1.32, 95% CI 1.10 – 1.58), when analyzed as continuous variables at 10 Gy and 1 cm increments, respectively. Three-year LC was 81% for lesions receiving BEDGy10 ≥ 113 (the group median dose) versus 48% for BEDGy10 < 113 (p<0.01). The predominant first site of disease progression was distant metastasis outside of SBRT field (76%). SBRT is an effective means of obtaining long-term local control for patients with oligometastatic CRC, with some patients experiencing long-term survival. Higher SBRT doses were associated with better local control.Abstract SU_2_2015; Table 1OS, Treatment Characteristics, and Local control of CRC Metastasis Treated with SBRTSiteNDose (Gy)# fractionsBEDGy103-year LC3-year OS-85----46% (34% - 59%)All10750 (48, 54)4 (3, 5)113 (100, 151)72% (64% - 82%)-Lung4254 (48, 54)3 (3, 4)151 (105, 151)80% (68% - 93%)-Liver3460 (53, 60)5 (5, 5)132 (127, 151)70% (55% - 89%)-Bone1630 (26, 49)3 (3, 5)63 (60, 96)43% (24% - 79%)-Lymph node1050 (44, 50)5 (5, 5)100 (82, 100)100% (69% - 100%)-Other545 (36, 50)5 (5, 5)86 (61, 100)75% (43% - 100%)-* Continuous variables reported as the median (IQR), survival, and LC reported as percentage (95% CI). Open table in a new tab" @default.
- W2896575493 created "2018-10-26" @default.
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- W2896575493 date "2018-11-01" @default.
- W2896575493 modified "2023-09-27" @default.
- W2896575493 title "Metastasis-Directed Stereotactic Body Radiation Therapy for Oligometastatic Colorectal Cancer: A Single Institution Experience" @default.
- W2896575493 doi "https://doi.org/10.1016/j.ijrobp.2018.07.209" @default.
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