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Medical Journal of Islamic Republic of Iran، جلد ۳۵، شماره ۱، صفحات ۱۰۴۳-۱۰۴۷

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عنوان انگلیسی Comparison of the Pathological Response and Adverse Effects of Oxaliplatin and Capecitabine versus Paclitaxel and Carboplatin in the Neoadjuvant Chemoradiotherapy Treatment Approach for Esophageal and Gastroesophageal Junction Cancer: A Randomized Control Trial Study
چکیده انگلیسی مقاله Background: Neoadjuvant chemoradiation is one of the main treatment approaches in esophageal cancer treatment, which can improve outcomes of a patient with esophageal cancer. In the current study, we aimed to compare the response rate and side effects of 2 distinctive neoadjuvant chemoradiation protocols.    Methods: The study was a randomized clinical trial that was performed on 70 patients with esophageal and gastroesophageal junction cancer in Iran. The study participants were randomly assigned to 1 of our treatment groups. The first group received capecitabine (625 mg/m2/TID) and oxaliplatin (50 mg/m2/weekly), while the second group was given a combination of carboplatin (AUC:2/weekly) and paclitaxel (75mg/m2/weekly). Both groups were given weekly 50.4-54 Gy dose of RT. Chi square and Fisher exact tests have been used for data analysis. All statistical tests were performed using SPSS software Version 22.0 and the significance level was set at 0.05.    Results: Complete pathological response was detected in 18(51.4%) of patients in group I and 8 (22.8%) in group II (p=0.013). We also observed higher thrombocytopenia in CarTax arm 19 (54.2%) in comparison to CapOX arm 8(22.8%), and the difference was statistically significant (p=0.007). No statistical difference was found regarding neutropenia, fatigue, anorexia, esophagitis, and diarrhea.       Conclusion: The CapOxRT regime provides more favorable outcomes and also it is more tolerated by patients.
کلیدواژه‌های انگلیسی مقاله Neoadjuvant, Chemoradiotherapy, Esophagogastric, Cancer

نویسندگان مقاله | Aida Cheraghi
Department of Radiotherapy, Firoozgar General Hospital, Iran University of Medical Sciences, Tehran, Iran


| Maedeh Barahman
Department of Radiotherapy, Firoozgar General Hospital, Iran University of Medical Sciences, Tehran, Iran


| Ramyar Hariri
Obesity Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran


| Alireza Nikoofar
Department of Radiotherapy, Firoozgar General Hospital, Iran University of Medical Sciences, Tehran, Iran


| Pedram Fadavi
Department of Radiotherapy, Shohaday-e-Haftom-e-Tir Hospital, Iran University of Medical Sciences, Tehran, Iran



نشانی اینترنتی http://mjiri.iums.ac.ir/browse.php?a_code=A-10-6672-1&slc_lang=en&sid=1
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کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده Oncology
نوع مقاله منتشر شده Original Research
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