Zagazig University Digital Repository
Home
Thesis & Publications
All Contents
Publications
Thesis
Graduation Projects
Research Area
Research Area Reports
Search by Research Area
Universities Thesis
ACADEMIC Links
ACADEMIC RESEARCH
Zagazig University Authors
Africa Research Statistics
Google Scholar
Research Gate
Researcher ID
CrossRef
CONCURRENT WHOLE BRAIN IRRADIATION WITH OR WITHOUT TEMOZOLOMIDE IN TREATMENT OF BRAIN METASTASES FROM BREAST CANCER.
Faculty
Medicine
Year:
2017
Type of Publication:
ZU Hosted
Pages:
Authors:
Mohamed Abdel Gawad Souleiman
Staff Zu Site
Abstract In Staff Site
Journal:
مجلة بحوث التربية الشاملة كلية التربية الرياضية بنات جامعة الزقازيق Int. J. Adv. Res. 5(6), 996-1004
Volume:
Keywords :
CONCURRENT WHOLE BRAIN IRRADIATION WITH , WITHOUT
Abstract:
Background : to evaluate the response rate , survival and safety of the combination of temozolamide and whole brain radiotherapy in breast cancer patients with previously untreated brain metastases Patients and Methods:40 patients with brain metastases were divided in two groups Control arm(A): patients received whole brain radiotherapy(WBRT) at a dose of 30 Gy in 10 daily fractions over 2 weeks. TMZ plus WBI arm (B): patients treated with (WBRT) at a dose of 30 Gy in 10 daily fractions over 2 weeks concomitant with temozolamide. The primary endpoint was overall response (OR) Secondary endpoints were progression free survival (PFS) and overall survival ( OS) Results: Patients who received WBI and TMZ had an overall response of 45% compared with 40% in WBI alone with no statistically significant difference. Brain metastasis progression was observed in 45% in the control group(A) versus 15% in group B with a statistically significant difference (p=0.038) . Median progression free survival ( PFS) was 6 months in group A but 9.5 in group B with non significant difference. One year progression free survival was 37.5% in group A versus 45% in group B . One year overall survival was 33.3% in group A versus 47.8% in group B . Median overall survival was 7 months in group A versus 11 months in group B with non-significant difference. Most of patients had tolerable side effects and recovered eventually. Conclusion: Although, the combination of WBRT and TMZ was safe and appeared to improve local control , OS and PFS of BMs from breast cancer in this study, this improvement was non- significant, and further studies with larger number of patients are needed to get significant results.
Author Related Publications
Mohamed Abdel Gawad Souleiman, "Prognostic Significance of Programmed Cell Death Ligand 1 (PD-L1), CD8+ Tumor-Infiltrating Lymphocytes and p53 in Non-Small Cell Lung Cancer:An Immunohistochemical Study", Turkish Journal of Pathology, 2017
More
Mohamed Abdel Gawad Souleiman, "Prognostic impact of EGFR and cytokeratin 5/6 immunohistochemical expression in triple-negative breast cancer", Elsevier, 2017
More
Mohamed Abdel Gawad Souleiman, "HYPOFRACTIONATED RADIOTHERAPY VERSUS CONVENTIONAL RADIOTHERAPY IN TREATMENT OF GLIOBLASTOMA MULTIFORME", PAN ARAB JOURNAL OF ONCOLOGY, 2011
More
Mohamed Abdel Gawad Souleiman, "METRONOMIC CHEMOTHERAPY AS A PALLIATIVE TREATMENT IN POOR PERFORMANCE STATUS PATIENTS WITH ADVANCED EPITHELIAL OVARIAN CARCINOMA", springer, 2011
More
Mohamed Abdel Gawad Souleiman, "Re-Irradiation in Recurrent High-Grade Glioma", The medical journal of cairo university, 2012
More
Department Related Publications
Walid Elsayed Hamouda, "تقييم دور العلاج الكيماوي والاشعاعي قبل الجراحه في حالات السرطان المستقيم المستشري موضوعيا", لايوجد, 1900
More
Walid Elsayed Hamouda, "مقارنةالعلاج الاشعاعى مع التمودال بالعلاج الاشعاعى المنفرد فى حالات اورام المخ من الدرجة الثالثة والرابعة", مجلة جامعة الزقازيق الطبية, 2006
More
Walid Elsayed Hamouda, "مقارنةالعلاج الاشعاعى مع التمودال بالعلاج الاشعاعى المنفرد فى حالات اورام المخ من الدرجة الثالثة والرابعة", جامعه الزقازيق الطبيه, 2001
More
Walid Elsayed Hamouda, "تقييم دور العلاج الكيماوى والاشعاعى قبل الجراحة فى حالات سرطان المستقيم المستشرى موضعيا", مجلة جامعة الزقازيق الطبية, 2006
More
Reham Safwat Elsayed Fahmy, "دراسه مقارنه بين حقن عقار السيبسلاتين اسبوعيا ملازما للعلاج الاشعاعى فقط في حالات سرطان عنق الرحم المتقدم", مجله جامعه الزقازيق الطبيه, 2001
More
جامعة المنصورة
جامعة الاسكندرية
جامعة القاهرة
جامعة سوهاج
جامعة الفيوم
جامعة بنها
جامعة دمياط
جامعة بورسعيد
جامعة حلوان
جامعة السويس
شراقوة
جامعة المنيا
جامعة دمنهور
جامعة المنوفية
جامعة أسوان
جامعة جنوب الوادى
جامعة قناة السويس
جامعة عين شمس
جامعة أسيوط
جامعة كفر الشيخ
جامعة السادات
جامعة طنطا
جامعة بنى سويف