Study of Postoperative 3D-CRT/IMRT in Hepatocellular Carcinoma
Study Details
Study Description
Brief Summary
Hepatectomy is difficult when the tumor is adjacent to the big vessels of the liver and some patients can not receive radical resection. Such patients have high risk of recurrence. Tumor resection and postoperative radiation is an option for such patients to achieve radical treatment and radiation may reduce local recurrence.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
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N/A |
Detailed Description
Patients with risk factors of recurrence receive postoperative radiotherapy using intensive modulated radiation therapy (IMRT) or three-dimensional conformal radiation therapy (3DCRT). The clinical target volume includes tumor bed. The dose will be 50-60Gy/25-30f. Overall survival, local-recurrence free survival, disease free survival and toxicity need be observed.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: hepatectomy plus radiotherapy
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Radiation: postoperative radiotherapy
IMRT or 3DCRT, 50-60Gy to the tumor bed
Other Names:
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Outcome Measures
Primary Outcome Measures
- overall survival [3 year]
the rate of overall survival for 3 year
Secondary Outcome Measures
- local recurrence free survival [3 years]
the rate of local recurrence free survival for 3 years
- disease free survival [3 years]
the rate of disease free survival for 3 years
- Number of Participants with Adverse Events [3 years]
Eligibility Criteria
Criteria
Inclusion Criteria:
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written informed consent provided
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18~75 years old
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patients with histopathological proved hepatocellular carcinoma received hepatectomy and had at least one risk factor of recurrence
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without any lymph node or distant metastasis (any T N0M0)
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liver function: Child-Pugh A or B
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Performance status: Karnofsky (KPS)≥70 or world health organization(WHO) score 0,1
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life expectation>6 months
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no dysfunction of major organs
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no prior radiotherapy
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negative for human immunodeficiency virus syndrome (HIV)
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Considerable to computed tomography(CT) simulation and 3D-CRT or IMRT
Exclusion Criteria:
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malignant tumors of other sits
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combining severe diseases, such as acute myocardial infarction(AMI), arrhythmias, infection
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surgery performed in other hospitals without details
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pregnant woman or woman need to breast feed or woman with positive chorionic gonadotrophin (HCG)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Department of Radiation Oncology, Cancer Hospital, Chinese Academy of Medical Sciences | Beijing | Beijing | China | 100021 |
Sponsors and Collaborators
- Chinese Academy of Medical Sciences
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CH-GI-019