TOXICITY OF CONCURRENT CHEMORADIATION IN LOCALLY ADVANCED RECTAL CARCINOMA

Authors

  • Meherullah Tareen Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Ahsan Mahmood Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Siafullah Treen Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Muhammad Yousaf Khan Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

Keywords:

Chemoradiation, Capecitabine with radiation, Locally advanced rectal carcinoma

Abstract

Objective: To evaluate treatment related toxicity of concurrent chemoradiation in locally advanced rectal carcinoma

Study Design: Cross sectional study.

Place and Duration of Study: Department of Oncology, Combined Military Hospital (CMH), Rawalpindi, from Jan 2017 to Jul 2017.

Methodology: Thirty-five patients with histopathologically diagnosed T3-4, N0-2, M0 adenocarcinoma rectum requiring neo adjuvant concurrent chemoradiation delivered using 3-D conformal technique with high-energy photon beams to were included. Patients were followed up weekly during concurrent chemoradiation to evaluate for any adverse events.

Results: Out of total 35 patient, only grade 3 radiation dermatitis developed in two patients. Grade 2 hema-tological toxicities i.e. anemia, leucocytopenia and neutropenia were noted in 11.4%, 17.14% and 5.71% of the patients, respectively. While grade 2 non-hematological toxicities including diarrhea, nausea, vomiting and radiation dermatitis were observed in 17.14%, 2.85%, 2.85% and 20% respectively. Grade 1 hematological toxicities i.e. anemia, leucocytopenia and thrombocytopenia were noted in 7 (20%), 12 (34.28%) and 6 (17.14%) of the patients, respectively.

Conclusion: Concurrent chemoradiation along with oral chemotherapy capecitabine in neoadjuvant setting was a well-tolerated and acceptable treatment option for locally advanced carcinoma of rectum.

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Published

27-01-2020

How to Cite

1.
Tareen M, Mahmood A, Treen S, Khan MY. TOXICITY OF CONCURRENT CHEMORADIATION IN LOCALLY ADVANCED RECTAL CARCINOMA. Pak Armed Forces Med J [Internet]. 2020 Jan. 27 [cited 2024 May 28];70(Suppl-1):S122-25. Available from: https://pafmj.org/PAFMJ/article/view/3807

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