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Research Article

Clinical outcomes of mild hyperthermia for locally advanced rectal cancer treated with preoperative radiochemotherapy

, MD, &
Pages 482-490 | Received 23 Oct 2010, Accepted 13 Feb 2011, Published online: 14 Jul 2011

Figures & data

Table I.  Patient and tumour characteristics before preoperative radiochemotherapy.

Table II.  Patient and tumour characteristics after preoperative radiochemotherapy.

Table III.  Relationships between the tumour response with the changes in T and N stage.

Figure 1. Cancer-specific survival curves of 235 patients according to the change of T and N stage. (A) T stage (p < 0.001), and (B) N stage (p = 0.001).

Figure 1. Cancer-specific survival curves of 235 patients according to the change of T and N stage. (A) T stage (p < 0.001), and (B) N stage (p = 0.001).

Figure 2. Response (CR+PR) rate of tumor size according to hyperthermia (HT) and a total dose of radiotherapy. The overall response rate was 50.6% for the 214 evaluable patients.

Figure 2. Response (CR+PR) rate of tumor size according to hyperthermia (HT) and a total dose of radiotherapy. The overall response rate was 50.6% for the 214 evaluable patients.

Figure 3. Downstaging rates of T stage. The overall downstaging rate was 43.4%. Hyperthermia (HT) significantly increased the downstaging rate in the 39.6 Gy group (p = 0.047), but not in the 45 Gy group.

Figure 3. Downstaging rates of T stage. The overall downstaging rate was 43.4%. Hyperthermia (HT) significantly increased the downstaging rate in the 39.6 Gy group (p = 0.047), but not in the 45 Gy group.

Table IV.  Changes in lymph node status after preoperative radiochemotherapy according to hyperthermia.

Figure 4. Survival curves of the 39.6 Gy group according to hyperthermia (HT). (A) Overall survival (OS, p = 0.103) and cancer-specific survival (CSS, p = 0.254), and (B) disease-free survival (DFS, 0.471), local relapse-free survival (LRFS, 0.785) and distant metastasis-free survival (DMFS, p = 0.236).

Figure 4. Survival curves of the 39.6 Gy group according to hyperthermia (HT). (A) Overall survival (OS, p = 0.103) and cancer-specific survival (CSS, p = 0.254), and (B) disease-free survival (DFS, 0.471), local relapse-free survival (LRFS, 0.785) and distant metastasis-free survival (DMFS, p = 0.236).

Figure 5. Survival curves of the 45 Gy group according to hyperthermia (HT). (A) Overall survival (OS, p = 0.598) and cancer-specific survival (CSS, p = 0.682), and (B) disease-free survival (DFS, p = 0.799), local relapse-free survival (LRFS, p = 0.688) and distant metastasis-free survival (DMFS, p = 0.944).

Figure 5. Survival curves of the 45 Gy group according to hyperthermia (HT). (A) Overall survival (OS, p = 0.598) and cancer-specific survival (CSS, p = 0.682), and (B) disease-free survival (DFS, p = 0.799), local relapse-free survival (LRFS, p = 0.688) and distant metastasis-free survival (DMFS, p = 0.944).

Figure 6. Survival curves of the 26 patients who experienced recurrence in 45 Gy group. Overall survival rate, calculated from the detection of distant metastasis, was significantly better in patients who were previously treated with preoperative RCT with HT (p = 0.026).

Figure 6. Survival curves of the 26 patients who experienced recurrence in 45 Gy group. Overall survival rate, calculated from the detection of distant metastasis, was significantly better in patients who were previously treated with preoperative RCT with HT (p = 0.026).

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