TABLE II.
Retrospective studies of adjuvant radiation therapy
Reference | Pts (n) | Systemic treatment [n (%)] | Radiation | Local control [n (%)] | |
---|---|---|---|---|---|
| |||||
Type [n (%)] | Dose (Gy) | ||||
Percarpio and Knowlton 197627 | 4 | Not reported | Adjuvant | 28–40 | 1 (25) |
Nader et al., 198328 | 10 | Not reported | Adjuvant [5 (50)] | Not reported | 2 (20) |
Markoe et al., 199129 | 5 | Chemotherapy or mitotane [2 (40)] | Adjuvant | 42–60 | 3 (60) |
Pommier and Brennan, 199230 | 3 | Not reported | Adjuvant | 39–45 | 0/3 |
Crucitti et al., 199631 | 11 | Chemoradiation [5 (45.5)] | Adjuvant | 30–52 | Not reported |
Jacob et al., 200032 | 5 | Chemoradiation [2 (40)] | Adjuvant | 40–45 | 5 (100) |
Fassnacht et al., 20063 | 14 | 5 (35.7) | Adjuvant | 41.4–54 | 12 (85.7) |
Hermsen et al., 201033 | 3 | Not reported | Adjuvant | Not reported | 3 (100) |
Sabloch et al., 201134 | 10 | No | Adjuvant [10 (38.5)] | 45–57 | 8 (80) |
16 | Definitive [16 (61.5)] | 22.5–73.51 | 5 (31.3) | ||
Habra et al., 20134 | 16 | 4 (25) | Adjuvant | 36–59.4 | 9 (56.3) |
Ho et al., 201335 | 14 | Chemoradiation 7 (50) | Adjuvant [2 (14.3)] | 17.5–60 | Of the 2 adjuvant patients, both experienced out-of-field recurrence |
Palliative [12 (85.7)] | 50.4–60 | ||||
Else et al., 20145 | 59 | Mitotane [42 (71.2) radiation and mitotane] | Adjuvant | Not reported | Not reported. Significant interaction observed between adjuvant mitotane and adjuvant radiation for recurrence-free survival when integrated in one model (hazard ratio: 0.4; p=0.03) |
Sabolch et al., 201526 | 20a | Mitotane concurrent with radiation | Adjuvant | 45–60 | Adjuvant radiation: 19 (95) Control groupa: 8 (40) (p=0.0005) |
The 20 patients treated with adjuvant radiation were matched to 20 surgical control subjects not treated with radiation. Matching was based on stage, grade, margins, and adjuvant mitotane.