High-dose radiotherapy is associated with better local control of bone metastasis from hepatocellular carcinoma.
We evaluated the pain and radiologic response, time to progression, and dose-response relationship after palliative radiotherapy for bone metastasis from hepatocellular carcinoma. We retrospectively reviewed the medical records of 91 patients between January 2004 and August 2012. The reviewed medical records included data on changes in pain, local tumor progression, and radiologic response evaluated via follow-up images. The radiologic response was assessed based on the Response Evaluation Criteria In Solid Tumors. The pain response was defined according to the International Bone Metastases Consensus Working Party palliative radiotherapy endpoints. Median radiation dose was 40 Gy (range, 20-66 Gy), with various fraction sizes (range, 2.0-6.0 Gy). Pain response rate was 81.4%. During the follow-up periods, radiologic local tumor progression was found in 42 patients (46.2%). The median time to progression was 14.1 months. When the patients were divided into two groups according to their radiation dose (< 55 Gy10 vs. ≥ 55 Gy10), the pain response rates of the high- and low-dose groups did not differ significantly (p = 0.728). However, the radiologic response rate and the time to progression showed significant differences between the two groups (p = 0.009 and p = 0.018, respectively). With dose escalation, higher radiologic response rates and a longer time to progression were achieved in patients with mass-forming bone metastases from hepatocellular carcinoma.
['Jung|In-Hye|IH|', 'Yoon|Sang Min|SM|', 'Kwak|Jungwon|J|', 'Park|Jin-Hong|JH|', 'Song|Si Yeol|SY|', 'Lee|Sang-Wook|SW|', 'Ahn|Seung Do|SD|', 'Choi|Eun Kyung|EK|', 'Kim|Jong Hoon|JH|']
D000328:Adult D000368:Aged D001859:Bone Neoplasms D006528:Carcinoma, Hepatocellular D005260:Female D005500:Follow-Up Studies D006801:Humans D008113:Liver Neoplasms D008297:Male D008875:Middle Aged D009367:Neoplasm Staging D011379:Prognosis D011879:Radiotherapy Dosage D012189:Retrospective Studies D015996:Survival Rate
radiotherapy bone metastasis hepatocellular carcinoma dose-response relationship palliative treatment