カワムラ ヒデマサ   KAWAMURA Hidemasa
  河村 英将
   所属   埼玉医科大学  医学部 総合医療センター 放射線科(画像診断・核医学科、放射線腫瘍科)
   職種   教授
論文種別 学術雑誌(原著)
言語種別 英語
査読の有無 査読あり
表題 National survey of radiation oncologists' practice patterns regarding hormone-naïve prostate cancer with bone metastases.
掲載誌名 正式名:Japanese journal of clinical oncology
掲載区分国外
著者・共著者 Katsumasa Nakamura,Hitoshi Ishikawa,Tetsuo Akimoto,Manabu Aoki,Shinji Kariya,Hidemasa Kawamura,Tomoyasu Kumano,Takuyo Kozuka,Kenta Konishi,Masakuni Sakaguchi,Kenji Takayama
発行年月 2020/07/06
概要 OBJECTIVE: To explore radiation oncologists' attitudes and practice patterns of radiotherapy for hormone-naïve prostate cancer with bone metastases in Japan. METHODS: An internet-based survey was distributed to board-certified radiation oncologists of the Japanese Society of Radiation Oncology. Three hypothetical cases were assumed: hormone-naïve prostate cancer with single, three or multiple non-symptomatic bone metastases. The respondents described their attitude regarding such cases, treatment methods and the radiotherapy dose fractionation that they would recommend. RESULTS: Among the 1013 board-certified radiation oncologists in Japan, 373 (36.8%) responded to the questionnaire. Most of the respondents (85.0%) believed that radiotherapy may be applicable as a primary treatment for hormone-naïve prostate cancer with bone metastases in some circumstances. For Case 1 (single bone metastasis), 55.0% of the respondents recommended radiotherapy for the prostate and bone metastasis. For Case 2 (three bone metastases), only 24.4% recommended radiotherapy for all lesions, and 31.4% recommended radiotherapy for the prostate only. For Case 3 (multiple bone metastases), 49.1% of the respondents stated that there was no indication for radiotherapy. However, 34% of the respondents still preferred to administer radiotherapy for the prostate. The radiotherapy techniques and dose fractionations varied widely among the respondents. CONCLUSION: Most of the respondent radiation oncologists believed that radiotherapy may be beneficial for hormone-naïve prostate cancer with bone metastases.
DOI 10.1093/jjco/hyaa111
PMID 32627817