Stereotactic body radiotherapy (SBRT) in the management of extracranial oligometastatic (OM) disease

I S Bhattacharya, D K Woolf, R J Hughes, N Shah, M Harrison, P J Ostler, P J Hoskin

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVE: A review of stereotactic body radiotherapy (SBRT) for oligometastases defined as three or fewer sites of isolated metastatic disease. The aim was to identify local control, overall survival (OS) and progression-free survival (PFS) of patients receiving SBRT for oligometastatic (OM) disease.

METHODS: Data were analysed for SBRT delivered between 01 September 2010 and 31 March 2014. End points included local control, PFS, OS and toxicity.

RESULTS: 76 patients received SBRT. The median age was 60 years (31-89 years). 44 were male. Median follow-up was 12.3 months (0.2-36.9 months). Major primary tumour sites included colorectal (38%), the breast (18%) and the prostate (12%). The treatment sites included lymph nodes (42%), the bone and spine (29%) and soft tissue (29%). 42% were previously treated with conventional radiotherapy. 45% were disease free after SBRT. 4% had local relapse, 45% had distant relapse, and 6% had local and distant relapse. Local control was 89%. The OS was 84.4% at 1 year and 63.2% at 2 years. PFS was 49.1% at 1 year and 26.2% at 2 years. Toxicities included duodenal ulcer and biliary stricture formation.

CONCLUSION: SBRT can achieve durable control of OM lesions and results in minimal radiation-induced morbidity.

ADVANCES IN KNOWLEDGE: This cohort is one of the largest reported to date and contributes to the field of SBRT in oligometastases that is emerging as an important research area. It is the only study reported from the UK and uses a uniform technique throughout. The efficacy and low toxicity with durable control of local disease with this approach is shown, setting the foundations for future randomized studies.

Original languageEnglish
Article number20140712
JournalThe British journal of radiology
Volume88
Issue number1048
DOIs
Publication statusPublished - Apr 2015

Keywords

  • Adult
  • Aged
  • Aged, 80 and over
  • Disease Progression
  • Dose Fractionation, Radiation
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Metastasis
  • Neoplasms/surgery
  • Radiosurgery/methods
  • Survival Rate
  • Treatment Outcome

Research Beacons, Institutes and Platforms

  • Manchester Cancer Research Centre

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