PMID- 34700142 OWN - NLM STAT- MEDLINE DCOM- 20220310 LR - 20220310 IS - 2468-2942 (Electronic) IS - 2468-2942 (Linking) VI - 29 DP - 2021 TI - Stereotactic body radiation therapy (SBRT) for patients with oligometastatic/oligoprogressive adrenal metastases: Outcomes and toxicities profile in a monoinstitutional study. PG - 100481 LID - S2468-2942(21)00177-5 [pii] LID - 10.1016/j.ctarc.2021.100481 [doi] AB - AIMS: To evaluate survival outcomes and toxicology profiles in oligometastatic/oligoprogressive patients treated with SBRT for adrenal metastases. METHODS: We retrospectively analyzed 25 metastatic adrenal lesions in 24 oligometastatic/oligoprogressive patients undergoing ablative Stereotactic Body Radiation Therapy (SBRT) between February 2010 and November 2019 in our department. The primary endpoint was overall survival (OS). Secondary endpoints were local overall response rate (ORR), acute and late toxicities. RESULTS: The most common primary tumor was non-small cell lung cancer (54%). Twenty-one patients received chemo or immuno-therapy. The median planning target volume (PTV) was 41.7 cm(3). Median SBRT dose was 36 Gy. Median dose per fraction was 15 Gy. Median survival was 35-months with OS outcomes ranging from 6-months (100%), 1-year (87.5%) and 2-years (66.7%). ORR based on RECIST criteria was 66.5%. 12 patients experienced acute toxicities, mostly grade 1-2 (8 patients, 32%). CONCLUSIONS: SBRT for oligometastatic/oligoprogressive patients with adrenal metastases showed acceptable survival outcomes and a safe toxicity profile. CI - Copyright (c) 2021 The Author(s). Published by Elsevier Ltd.. All rights reserved. FAU - Facondo, Giuseppe AU - Facondo G AD - Department of Medicine and Surgery and Translational Medicine, Sapienza University of Rome, Radiotherapy Oncology, St Andrea Hospital, Rome, Italy. FAU - Vullo, Gianluca AU - Vullo G AD - Department of Medicine and Surgery and Translational Medicine, Sapienza University of Rome, Radiotherapy Oncology, St Andrea Hospital, Rome, Italy. Electronic address: gianluca.vullo@uniroma1.it. FAU - Valeriani, Maurizio AU - Valeriani M AD - Department of Medicine and Surgery and Translational Medicine, Sapienza University of Rome, Radiotherapy Oncology, St Andrea Hospital, Rome, Italy. FAU - Ascolese, Anna Maria AU - Ascolese AM AD - Department of Medicine and Surgery and Translational Medicine, Sapienza University of Rome, Radiotherapy Oncology, St Andrea Hospital, Rome, Italy. FAU - De Sanctis, Vitaliana AU - De Sanctis V AD - Department of Medicine and Surgery and Translational Medicine, Sapienza University of Rome, Radiotherapy Oncology, St Andrea Hospital, Rome, Italy. FAU - Osti, Mattia Falchetto AU - Osti MF AD - Department of Medicine and Surgery and Translational Medicine, Sapienza University of Rome, Radiotherapy Oncology, St Andrea Hospital, Rome, Italy. LA - eng PT - Journal Article DEP - 20211021 PL - England TA - Cancer Treat Res Commun JT - Cancer treatment and research communications JID - 101694651 SB - IM MH - Adrenal Gland Neoplasms/*complications/mortality MH - Aged MH - Aged, 80 and over MH - Disease Progression MH - Female MH - Humans MH - Male MH - Middle Aged MH - Neoplasm Metastasis MH - Radiosurgery/*methods MH - Retrospective Studies MH - Survival Analysis OTO - NOTNLM OT - Adrenal metastases OT - Oligometastatic OT - Oligoprogression OT - Radiotherapy OT - Stereotactic body radiation therapy EDAT- 2021/10/27 06:00 MHDA- 2022/03/11 06:00 CRDT- 2021/10/26 20:20 PHST- 2021/09/09 00:00 [received] PHST- 2021/10/06 00:00 [revised] PHST- 2021/10/19 00:00 [accepted] PHST- 2021/10/27 06:00 [pubmed] PHST- 2022/03/11 06:00 [medline] PHST- 2021/10/26 20:20 [entrez] AID - S2468-2942(21)00177-5 [pii] AID - 10.1016/j.ctarc.2021.100481 [doi] PST - ppublish SO - Cancer Treat Res Commun. 2021;29:100481. doi: 10.1016/j.ctarc.2021.100481. Epub 2021 Oct 21.