Cited by 42Adrenal and Paraganglionic TumorsPituitary Gland Disorders and TreatmentsAdrenal Hormones and Disorders

Response to radiation therapy in adrenocortical carcinoma

Hermsen, I. G. C., Groenen, Y. E., Dercksen, M. W., Theuws, J., Haak, H. R.·2010·Journal of Endocrinological Investigation

Abstract

Introduction Adrenocortical carcinoma (ACC) is a rare disease which is considered resistant to many treatments. The role of radiotherapy in ACC remains unclear. In general radiotherapy is thought to be ineffective for the treatment of ACC, and therefore not often used. However, recent reports suggest the opposite. The aim of this study was to perform a retrospective analysis to evaluate the application of radiotherapy in Dutch ACC patients, and to determine the occurrence of response.Materials and methods The Dutch ACC Registry (no.=159) was screened for patients who had received radiotherapy between 1990 and 2008. Tumor response evaluation was performed according to the Response Evaluation Criteria In Solid Tumors (RECIST).Results Only 13 patients (8% of registered patients) had received radiation therapy of whom 6 were irradiated for the palliation of painful bone metastases. In all patients this radiation resulted in pain relief. Three patients received adjuvant tumor bed radiation after resection. Four patients were radiated on irresectable tumor recurrence or tumor metastases. Two patients died soon after radiation therapy and therefore follow-up information regarding tumor response after radiation therapy of 2 patients was available. Interestingly, partial tumor response according to RECIST criteria, was observed in both patients.Conclusion ACC can be sensitive to radiotherapy and should be considered in the treatment of advanced ACC, particularly in worrisome lesions. The role of radiotherapy in advanced ACC is to complement a systemic treatment such as mitotane or classic cytotoxic agents.

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Crossref · 10.1007/bf03346675

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  • Radiotherapy has been shown in several recent series to offer a significant improvement in disease control in both adjuvant and palliative settings, although such improvement has not been universally demonstrated.

    “Although traditionally considered ineffective for ACC (327–331), radiotherapy has been shown in several recent series to offer a significant improvement in disease control in both the adjuvant and palliative settings (247, 332–337), although such an improvement has not been universally demonstrated (338).”

    From Adrenocortical carcinoma (2014) · cites this paper as [333]

  • Hermsen et al found all 6 patients treated for bone metastases were successfully palliated.

    “Hermsen et al (333) found similar outcomes, as all 6 patients that they treated for bone metastases were successfully palliated.”

    From Adrenocortical carcinoma (2014) · cites this paper as [333]

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Authors
Hermsen, I. G. C., Groenen, Y. E., Dercksen, M. W., Theuws, J., & Haak, H. R.
Affiliations
  • Máxima Medisch Centrum (NL)
  • Catharina Ziekenhuis (NL)
Corresponding author
Hermsen, I. G. C.
Venue
Journal of Endocrinological Investigation
Published
2010-03-10
Volume
33
Issue
10
Pages
712-714
ISSN
  • 0391-4097 (ISSN-L)
  • 1720-8386
OpenAlex
W1963564387
Cited by
42
References
21
Citations by year
2025: 3 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 3 · 2019: 1 · 2018: 3 · 2017: 3 · 2016: 2 · 2015: 5 · 2014: 3 · 2013: 1 · 2012: 4
FWCI
3.37
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Endocrinological Investigation (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Adrenal and Paraganglionic Tumors
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pituitary Gland Disorders and Treatments
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
Keywords
adrenocortical carcinoma, radiotherapy, tumor response, RECIST, palliative radiotherapy, bone metastasis, adjuvant radiotherapy, tumor recurrence, advanced disease, mitotane
MeSH terms
Adrenal Cortex Neoplasms, Aged, Bone Neoplasms, Female, Humans, Male, Middle Aged, Netherlands, Radiography, Abdominal, Recurrence, Registries, Retrospective Studies, Survival Analysis, Treatment Outcome, Adrenocortical Carcinoma, Radiotherapy, Adjuvant

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