Preoperative chemoradiotherapy for esophageal or gastroesophageal junction cancer: results from a retrospective study using extended CROSS regimen

In patients with esophageal cancer undergoing trimodal therapy, the radiation dose escalation to 50.4 Gy was not associated with higher rates of pathological complete response or a survival benefit compared to the results of the CROSS trial. However, multivariable analysis revealed a trend toward increased mortality with larger radiation volumes. Based on these results, using modern radiotherapy techniques such as online adaptive radiotherapy might be more beneficial instead of escalating the radiation dose.

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Publication Details

Journal
Radiation Oncology
Published
2025-05-08
DOI
https://doi.org/10.1186/s13014-025-02637-4
Citations
2
Primary Topic
Esophageal Cancer Research and Treatment
Type
article
Field-Weighted Citation Impact
4.01
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article

Preoperative chemoradiotherapy for esophageal or gastroesophageal junction cancer: results from a retrospective study using extended CROSS regimen

Burim Sermaxhaj, Tobias Haltmeier, Hossein Hemmatazad, Anna Stenger-Weisser et al.
2 citations
Radiation Oncology
Esophageal Cancer Research and Treatment
4.01
article

Preoperative chemoradiotherapy for esophageal or gastroesophageal junction cancer: results from a retrospective study using extended CROSS regimen

Burim Sermaxhaj, Tobias Haltmeier, Hossein Hemmatazad, Anna Stenger-Weisser, Elena Riggenbach, Martin D. Berger, Yves Borbély, Jennifer Brazerol
article en
2 citations

Abstract

In patients with esophageal cancer undergoing trimodal therapy, the radiation dose escalation to 50.4 Gy was not associated with higher rates of pathological complete response or a survival benefit compared to the results of the CROSS trial. However, multivariable analysis revealed a trend toward increased mortality with larger radiation volumes. Based on these results, using modern radiotherapy techniques such as online adaptive radiotherapy might be more beneficial instead of escalating the radiation dose.

Radiation OncologyVol. 20(1)
University of Bern (CH), University Hospital of Bern (CH), Luzerner Kantonsspital (CH), Stadtspital Waid (CH)
Good health and well-being
Openalex Percentile: Top 7%
Esophageal Cancer Research and Treatment
4.01
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