Esophageal neoplasm
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Histologically proven squamous cell carcinoma, adenosquamous carcinoma, or basaloid cell carcinoma located in the thoracic esophagus 2) Clinical stage IIIC or IV with supraclavicular lymph node metastasis i)Primary tumor invasion depth T4 ii)Metastatic regional lymph node(s) invasion to adjacent organ 3) No esophageal fistula 4) No aortic invasion 5) Aged 20 to 75 years old 6) ECOG Performance status 0 or 1 7) Adequate organ functions 8) Written informed consent
Exclusion criteria
Exclusion criteria: 1) Simultaneous or metachronous (within 5 years) double cancers , with the exception of intramucosal tumor curable with local therapy 2) Active infection requiring systemic therapy 3) Fever over 38 degrees Celsius 4) Pregnant or lactating women or women of childbearing potential 5) Psychosis 6) Patients requiring systemic steroids medication 7) Serum HBs antigen positive 8) Uncontrolled diabetes mellitus 9) Unstable angina within 3 weeks, or with a history of myocardial infarction within 6 months. 10) Interstitial pneumonia, fibroid lung, or severe emphysema 11) With a history of cerebrovascular disorder within 6 months 12) Connective tissue disease 13) History of radiation therapy to chest 14) History of surgery for esophageal cancer
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| incidence of (1) Grade 3 or more esophagitis, (2) Grade 2 or more radiation pneumonitis, (3) Grade 2 or more conduction disorder/pericardial effusion/pericarditis/acute coronary syndrome within 90 days after intensity-modulated radiation therapy and (4) more than 60 days of treatment duration to finish a radiation therapy due to adverse events | — |
Countries
Japan
Contacts
Graduate School of Medicine and Faculty of Medicine Kyoto University Department of Radiation Oncology and Image-Applied Therapy