PMID- 37697668 OWN - NLM STAT- MEDLINE DCOM- 20231127 LR - 20231127 IS - 1349-9157 (Electronic) IS - 0449-3060 (Print) IS - 0449-3060 (Linking) VI - 64 IP - 6 DP - 2023 Nov 21 TI - The Japanese nationwide cohort data of proton beam therapy for liver oligometastasis in esophagogastric cancer patients. PG - 926-932 LID - 10.1093/jrr/rrad066 [doi] AB - A nationwide multicenter cohort study on particle therapy was launched by the Japanese Society for Radiation Oncology in Japan in May 2016. We analyzed the outcome of proton beam therapy (PBT) for liver oligometastasis of esophagogastric cancers. Cases in which PBT was performed at all PBT facilities in Japan between May 2016 and February 2019 were enrolled. The patients were selected based on the following criteria: controlled primary cancer, liver recurrence without extrahepatic tumors and no more than three liver lesions. Twenty-two males and two females with a median age of 69 (range, 52-80) years and 35 lesions were included. This study included 6 patients with esophageal and 18 patients with gastric cancer. The median lesion size, fraction size and biological effective dose (BED)10 were 32 (7-104) mm, 3.8 gray (relative biological effect)/fractions (Gy (RBE)/fr) (2-8 Gy (RBE)/fr) and 96.9 (88.8-115.2) Gy, respectively. The median follow-up period was 18 (4-47) months. The 1-, 2- and 3-year overall survival (OS) rates were 75, 51.8 and 45.3%, respectively, and the median OS was 25.3 months. The 1-, 2- and 3-year cumulative local recurrence (LR) rates were 3, 6 and 6%, respectively. Patients' age (P < 0.01), performance status (P = 0.017) and tumor size (P = 0.024) were significant OS-related factors. No Grade 3 or higher adverse events (AEs) were observed. Owing to the low incidence of AEs and the low LR cumulative incidence, PBT is a feasible option for liver oligometastasis of esophagogastric cancers. CI - (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Japanese Radiation Research Society and Japanese Society for Radiation Oncology. FAU - Yamaguchi, Hisashi AU - Yamaguchi H AD - Department of Minimally Invasive Surgical and Medical Oncology, Fukushima Medical University, 1 Hikarigaoka, Fukushima, Fukushima 960-1295, Japan. AD - Department of Radiology, Southern Tohoku Proton Therapy Center, 7-172 Yatsuyamada, Koriyama, Fukushima 963-8052, Japan. FAU - Fukumitsu, Nobuyoshi AU - Fukumitsu N AD - Department of Radiation Oncology, Hyogo Ion Beam Medical Center Kobe Proton Center, 1-6-8 Minatojima-minamimachi, Chuo-ku, Kobe, Hyogo 650-0047, Japan. FAU - Numajiri, Haruko AU - Numajiri H AD - Department of Radiation Oncology, University of Tsukuba, 1-1-1 Tennoudai, Tsukuba, Ibaraki 305-8575, Japan. FAU - Ogino, Hiroyuki AU - Ogino H AD - Department of Radiation Oncology, Nagoya Proton Therapy Center, Nagoya City University West Medical Center, 1-1-1 Hirate-cho, Kita-ku, Nagoya 462-8508, Japan. FAU - Katoh, Norio AU - Katoh N AD - Department of Radiation Oncology, Hokkaido University Faculty of Medicine, North-15 West-7, Kita-ku, Sapporo 060-8638, Japan. FAU - Okimoto, Tomoaki AU - Okimoto T AD - Department of Radiology, Hyogo Ion Beam Medical Center, 1-2-1 Koto, Shingu-cho, Tatsuno, Hyogo 679-5165, Japan. FAU - Suzuki, Motohisa AU - Suzuki M AD - Department of Radiology, Southern Tohoku Proton Therapy Center, 7-172 Yatsuyamada, Koriyama, Fukushima 963-8052, Japan. FAU - Sakurai, Hideyuki AU - Sakurai H AD - Department of Radiation Oncology, University of Tsukuba, 1-1-1 Tennoudai, Tsukuba, Ibaraki 305-8575, Japan. LA - eng GR - JP16lm0103004/AMED/ PT - Journal Article PT - Multicenter Study PL - England TA - J Radiat Res JT - Journal of radiation research JID - 0376611 SB - IM MH - Male MH - Female MH - Humans MH - Middle Aged MH - Aged MH - Aged, 80 and over MH - *Proton Therapy/adverse effects MH - *Esophageal Neoplasms/radiotherapy MH - *Stomach Neoplasms/radiotherapy MH - Cohort Studies MH - East Asian People MH - Liver PMC - PMC10665303 OTO - NOTNLM OT - esophageal cancer OT - gastric cancer OT - gastrointestinal cancer OT - liver metastasis OT - proton beam therapy COIS- None. EDAT- 2023/09/12 06:41 MHDA- 2023/11/27 12:44 PMCR- 2023/09/11 CRDT- 2023/09/12 02:22 PHST- 2023/07/04 00:00 [received] PHST- 2023/08/03 00:00 [revised] PHST- 2023/11/27 12:44 [medline] PHST- 2023/09/12 06:41 [pubmed] PHST- 2023/09/12 02:22 [entrez] PHST- 2023/09/11 00:00 [pmc-release] AID - 7267602 [pii] AID - rrad066 [pii] AID - 10.1093/jrr/rrad066 [doi] PST - ppublish SO - J Radiat Res. 2023 Nov 21;64(6):926-932. doi: 10.1093/jrr/rrad066.