Sun XN, Yang QC, Hu JB. Pre-operative radiochemotherapy of locally advanced rectal cancer. World J Gastroenterol 2003; 9(4): 717-720 [PMID: 12679918 DOI: 10.3748/wjg.v9.i4.717]
Corresponding Author of This Article
Dr. Xiao-Nan Sun, Department of Radiation Oncology, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China. sunxiaonan@hotmail.com
Article-Type of This Article
Colorectal Cancer
Open-Access Policy of This Article
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World J Gastroenterol. Apr 15, 2003; 9(4): 717-720 Published online Apr 15, 2003. doi: 10.3748/wjg.v9.i4.717
Table 1 Patient demography and disease charateristiscs at baseline
Parameter
RCS group
RS group
Male/female
12/3
21/6
Age (years): median (range)
56 (33-72)
58 (18-71)
Karnofsky performance status
70-90
70-90
Primary site
Middle
4
7
lower
11
20
Degree of differentiation
Well
1
2
Moderate
7
15
Poor
3
4
Not specified
4
6
TNM staging
T3N0M0
5
14
T3N1M0
0
3
T4N0M0
6
3
T4N1M0
4
5
T4N2M0
0
2
Table 2 The radical resectability, sphincter preservation, lower rectal cancer sphincter preservation, response and tumor down-stage rates in the two groups
Parameter
RCS group
RS group
P
Radical resectability rate
73.3%
37.0%
0.024
Sphincter preservation rate
26.6%
3.7%
0.028
Lower rectal cancer sphincter
27.3%
0.0%
0.014
preservation rate
Response rate
46.7%
18.5%
0.053
Tumor downstage rate
53.3%
33.3%
0.206
Table 3 The 3-year overall survival, disease free survival and local recurrent rates of the patients of two groups
Parameter
RCS group
RS group
P
3-year overall survival rate
66.7%
55.6%
0.485
3-year disease free survival rate
40.1%
33.2%
0.663
3-year local recurrent rate
26.7%
48.1%
0.174
Table 4 WHO modified scale for acute toxicity
Site
Grading (RCS group)
Grading (RS group)
0
1
2
3
4
0
1
2
3
4
Hematologic:
Neutropenia
8
2
4
1
0
19
3
5
0
0
Non-hematologic:
Small bowl
4
3
7
3
0
6
9
10
2
0
Bladder
6
4
5
0
0
10
11
6
0
0
Skin
0
2
6
7
0
0
10
8
9
0
Citation: Sun XN, Yang QC, Hu JB. Pre-operative radiochemotherapy of locally advanced rectal cancer. World J Gastroenterol 2003; 9(4): 717-720