Prospective phase-II-study evaluating postoperative radiotherapy of cervical and endometrial cancer patients using protons - the APROVE-trial

The prognosis for patients with cervical or endometrial cancer has improved over the last decades. Thus, reducing therapy-related toxicity and impact on quality of life have become more and more important. With the development of new radiotherapy techniques like IMRT (Intensity-modulated radiotherap...

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Main Authors: Arians, Nathalie (Author) , Lindel, Katja (Author) , Krisam, Johannes (Author) , Herfarth, Klaus (Author) , Krug, David (Author) , Akbaba, Sati (Author) , Oelmann-Avendano, Jan Tobias (Author) , Debus, Jürgen (Author)
Format: Article (Journal)
Language:English
Published: 28 November 2017
In: Radiation oncology
Year: 2017, Volume: 12
ISSN:1748-717X
DOI:10.1186/s13014-017-0926-5
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Author Notes:N. Arians, K. Lindel, J. Krisam, K. Herfarth, D. Krug, S. Akbaba, J. Oelmann-Avendano and J. Debus
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Summary:The prognosis for patients with cervical or endometrial cancer has improved over the last decades. Thus, reducing therapy-related toxicity and impact on quality of life have become more and more important. With the development of new radiotherapy techniques like IMRT (Intensity-modulated radiotherapy) the incidence of acute and chronic toxicities has already been reduced. Nevertheless, rates of complications requiring medical treatment range from 0.7-8% according to literature. 7.7% of patients develop severe complications after 5 years with an increasing risk for complications of 0.3%/year. Particularly, the volume of the small and large bowel receiving low doses (15 Gy) has been shown to be a predictive factor for the development of higher bowel toxicity. With the introduction of proton therapy into clinical practice, there are new opportunities for optimization of organ at risk-sparing thus possibly reducing toxicity.
Item Description:Gesehen am 18.01.2018
Physical Description:Online Resource
ISSN:1748-717X
DOI:10.1186/s13014-017-0926-5