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Benefit of IMRT in UCNT : local control and survival

(Adults)

N

Time of RT5 y Local Control 5-y DFS 5-y OS Benefit

Peng, Radiother Oncol. 2012

CRT: 306 2003-2008 84.7% (T4 62%)

67.1%

IMRT : 310

90.5% (T4 81%)

79.6%

Chen, Oncotarget 2017

CRT: 377 2004-2006 76.6%

71.8%

Advanced disease

++

IMRT : 481

87.6%

82.3%

T4 ++

Zhang, Eur J Cancer 2015

CRT: 4836 2002-2012 90.8%

76.6% 84.5% Both advanced and

IMRT : 2245

95.6%

82.1% 87.4% early disease

- Randomized study in adults := better LC : + 6-11% DFS/OS : +5-12%

- Better target coverage using IMRT

- Advanced disease especialy : T4, N2, Stage III ++)