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Table 4 Treatment toxicity and the sites of first failure for the two patient groups (EBRT + NBT and 3D-CRT)

From: A retrospective study of californium-252 neutron brachytherapy combined with EBRT versus 3D-CRT in the treatment of esophageal squamous cell cancer

Characteristics

EBRT + NBT (n = 545)

3D-CRT (n = 339)

P value

Acute toxicity (Events of grade ≥2)

Number of patients (%)

 Esophagitis

197 (36.1 %)

122 36.0 %)

0.962

 Pulmonary complications

30 (5.5 %)

10 (2.9 %)

0.076

 Leukopenia

425 (78.0 %)

209 (61.7 %)

<0.001

 Neutropenia

282 (51.7 %)

165 (48.7 %)

0.375

 Thrombocytopenia

54 (9.9 %)

8 (2.4 %)

<0.001

Late toxicity

   

 Esophageal fistulas

33 (6.1 %)

47 (13.9 %)

<0.001

 Massive bleeding

27 (5.0 %)

20 (5.9 %)

0.831

The sites of first failure in the whole group

   

 Local-regional failure

195 (35.7 %)

139 (41.0 %)

0.001

 In field

170 (31.2 %)

124 (36.6 %)

0.001

 Out field

25 (4.6 %)

15 (4.4 %)

0.116

 Distant metastasis

86 (15.8 %)

41 (12.1 %)

0.128

 Lung

23 (4.2 %)

14 (4.1 %)

NS

liver

14 (2.6 %)

8 (2.4 %)

NS

 Bone

14 (2.6 %)

3 (0.9 %)

NS

 Brain

5 (1.0 %)

3 (0.9 %)

NS

 ≥2 metastasis sites

30 (5.5 %)

13 (3.8 %)

NS

Not otherwise specified (disease of heart head blood-vessel, pneumonia, second tumor)

36 (6.6 %)

35 (6.4 %)

NS

  1. Abbreviations: EBRT + NBT external beam radiotherapy plus neutron brachytherapy; 3D-CRT three dimensional conformal radiotherapy; NS no statistics