Table 2.
Reference | Type of study | Site | n | Treatment | Tumor response | Survival | HT-associated adverse events |
---|---|---|---|---|---|---|---|
Ott et al21 | Squamous rectal cancer | 112 | CRT vs CRT + HT | 5-year follow-up, overall (95.8% vs 74.5%, P = .045), disease-free (89.1% vs 70.4%, P = .027), local recurrence-free (97.7% vs 78.7%, P = .006), and colostomy-free survival rates (87.7% vs 69.0%, P = .016) | Comparable toxicity: skin reaction, diarrhea, stomatitis, and nausea/emesis were not increased with the additional use of HT. | ||
Zwirner et al15 | Nonrandomized prospective study | Locally advanced rectal cancer | 86 | Preoperative CRT + HT | 5-year OS = 87.3%, DFS = 79.9%, and LRFS = 95.8%, respectively | ND | |
Gani et al14 | Nonrandomized retrospective study | Adenocarcinoma of the middle or lower rectum | 103 | Neoadjuvant 43 CRT 60 CRT + HT |
5-year CRT: OS = 76%, DFS = 73%, and LRFS = 77%, 5-year CRT − HT: OS = 88% (P < .08), DFS = 78%, and LRFS = 75%, respectively | ND | |
Shoji et al16 | Nonrandomized prospective study | Rectal cancer | 49 | Preoperative CRT + HT |
CR + pCR = 29% | One case of G3 perianal dermatitis | |
Kato et al18 | Nonrandomized prospective study | Locally advanced rectal cancer | 48 | Preoperative CRT − HT |
pCR = 69% | No hematological toxicity | |
Schroeder et al19 | Nonrandomized prospective study | Locally advanced rectal cancer | 106 | Neoadjuvant 45 CRT vs 61 CRT + HT | pCR rate: CRT + HT = 22.5% (P = .043) | ND | |
Maluta et al17 | Nonrandomized prospective study | Locally advanced adenocarcinoma of middle and lower rectum | 76 | Preoperative CRT − HT | CR = 23.6% Disease control = 94.8% |
5-year OS = 86.5%, DFS = 74.5%, and LRFS = 73.2%, respectively | G0-G2 general or local discomfort in 15%, no G3, G4 subcutaneous burns in 5.2% |
Abbreviations: HT, hyperthermia; CRT, chemoradiotherapy; OS, overall survival; DFS, disease-free survival; LRFS, local relapse-free survival; ND, not specified; CR, complete response; G, grade; pCR, pathologic complete response.