pulmonary or liver metastasis from colorectal cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Diagnosed as pulmonary or liver metastasis from colorectal cancer a.Histologically confirmed pulmonary or liver metastasis from colorectal cancer b.Graphically diagnosed pulmonary or liver metastasis from colorectal cancer with CT, MRI or US in following up after histologically confirmed colorectal cancer 2.No other metastasis is confirmed by FDG-PET and brain MRI within 60 days 3.pulmonary or liver metastasis from colorectal cancer: 1-3 tumors. 1-2 pulmonary metastases in ipsilateral lung 4.out of indication or refusal to surgical resection 5.enable to irradiate those lesions respecting dose constraint 6.no history of irradiation to the lung or the liver 7.at least 2 weeks passed after the latest chemotherapy 8.ECOG PS=0-2 9.Age>=20 and <=90 10.GOLD stage 0-II in patients with lung metastases 11.Preserved bone marrow, renal and heart function a.WBC:>=2000/mm3 b.Platelet:>=3x104/mm3 c.Hgb:>=8.0g/dl d.Toral bilirubin:<=2.0mg/dl e.Cr:<=2.0mg/dl f.PT:>=50% 12.Written informed consent
Exclusion criteria
Exclusion criteria: 1.No apparent interstitial pneumonitis or fibrosis in patients with pulmonary metastasis 2.No liver cirrhosis more than Child-Pugh score 7 in patients with liver metastasis 3.No active inflammation except for using ointment 4.No multiple cancer (except for carcinoma in-situ) 5.No pregnancy or breast feeding 6.No psychiatric disorder 7.No steroid administration 8.No concurrent chemotherapy 9.No fever above 38 10.No cough with opioid drug 11.No other reason that clinician judged as improper
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 2-year local control of pulmonary and liver metastasis from colorectal cancer | — |
Secondary
| Measure | Time frame |
|---|---|
| overall survival time, 2-year overall survival, local control time of pulmonary metastasis, toxicities proportion, severe toxicities proportion | — |
Countries
Japan
Contacts
Ofuna Chuo Hospital Radiation Oncology Center