The Spectrum hypothesis and the technical revolution in radiotherapy at the origin of major paradigm shiftCOUCKE, Philippe ![]() in Belgian Journal of Medical Oncology [=BJMO] (2012), 6(5), 151-156 Detailed reference viewed: 19 (0 ULg) New indications for radiotherapy: primary liver cancer and secondary liver oligometastasesJANVARY, Zsolt Levente ; JANSEN, Nicolas ; MARTINIVE, Philippe et alin Belgian Journal of Medical Oncology [=BJMO] (2011), 5(1), 8-13 Surgery is considered to be the standard treatment for intrahepatic malignancies, primary <br />cancers and metastatic lesions. However, a great many patients are not eligible for surgical <br ... [more ▼] Surgery is considered to be the standard treatment for intrahepatic malignancies, primary <br />cancers and metastatic lesions. However, a great many patients are not eligible for surgical <br />intervention. Modern stereotactic radiotherapy has the potential to be an effective alternative <br />treatment modality with low toxicity for patients with primary hepatocellular carcinoma <br />and liver oligometastases. In this paper we intend to review the current status and published <br />experiences in the field of liver irradiation. [less ▲] Detailed reference viewed: 42 (4 ULg) Accelerated partial breast irradiation: state of the artCOUCKE, Philippe ; JANSEN, Nicolas ; JANVARY, Zsolt Levente et alin Belgian Journal of Medical Oncology [=BJMO] (2011), 5(1), 3-7 Accelerated partial breast irradiation can be applied by means of different techniques. It <br />offers an opportunity for reducing the treatment duration considerably and harbours the <br />potential for ... [more ▼] Accelerated partial breast irradiation can be applied by means of different techniques. It <br />offers an opportunity for reducing the treatment duration considerably and harbours the <br />potential for less exposure of healthy tissue to higher radiation doses. However, evidence <br />issued from randomized trials is limited. European and American experts call our attention <br />to the potential dangers of widespread implementation of these techniques without any <br />long-term data on outcome and ask for complete information of patients on the potential <br />hazards and risks if accelerated partial breast irradiation is used instead of whole breast <br />irradiation. [less ▲] Detailed reference viewed: 40 (7 ULg) Cross talk between dendritic and natural killer cells in the presence of vaccine agent against cervical cancerLangers, Inge ; Renoux, Virginie ; Reschner, Anca et alin Belgian Journal of Medical Oncology [=BJMO] (2010, January 30), 4 Detailed reference viewed: 58 (24 ULg) Practice guidelines on the use of erythropoiesis-stimulating agents in the treatment of chemotherapy-induced anemia; ; et al in Belgian Journal of Medical Oncology [=BJMO] (2010), 4 On July 1st 2009, a panel of experts met with the goal to provide a joint medical opinion on the use of erythropoiesis-stimulating agents (ESAs) in chemotherapy-induced anemia (CIA), as well as a joint ... [more ▼] On July 1st 2009, a panel of experts met with the goal to provide a joint medical opinion on the use of erythropoiesis-stimulating agents (ESAs) in chemotherapy-induced anemia (CIA), as well as a joint proposal for revised reimbursement criteria in Belgium. The goal is to provide a clear and workable guidance on the use of ESAs in their registrered indication : chemotherapy induced anemia in cancer patients. An overview of participating experts can be found in Table 1. [less ▲] Detailed reference viewed: 28 (1 ULg) Hematopoietic stem cell transplantation in the treatment strategy of acute leukemiaBaron, Frédéric ; Beguin, Yves ![]() in Belgian Journal of Medical Oncology [=BJMO] (2010), 4 This review article discusses the current indications for allogeneic hematopoietic stem cell transplantation in adult patients with acute myeloid or lymphoblastic leukemia Detailed reference viewed: 24 (4 ULg) A phase I trial on LBH589 (panobinostat), a histone deacetylase inhibitor in combination with external radiotherapy for the treatment of prostate cancer, oesophageal cancer and head and neck cancer: protocol CLBH589CBE01COUCKE, Philippe ![]() in Belgian Journal of Medical Oncology [=BJMO] (2010), 4(1), 26 Detailed reference viewed: 5 (4 ULg) A dosimetric study comparing breast radiotherapy planned in prone versus supine position and via conformal 3D versus IMRT techniques: protocol B-POSCOUCKE, Philippe ![]() in Belgian Journal of Medical Oncology [=BJMO] (2010), 4(4), Detailed reference viewed: 11 (6 ULg) A phase I trial of sutent, a tyrosine kinase inhibitor combined with ionizing irradiation in rectal cancer: protocol KIRC 08-01COUCKE, Philippe ![]() in Belgian Journal of Medical Oncology [=BJMO] (2010), 4(2), 65-66 Detailed reference viewed: 10 (7 ULg) A phase I trial on LBH 589 (panobinostat), a histone deacetylase inhibitor (HDAC i) in combination with external radiotherapy for the treatment of prostate cancer, esophageal cancer and head and neck cancer.Coucke, Philippe ![]() in Belgian Journal of Medical Oncology [=BJMO] (2009), 3(3), 121 Detailed reference viewed: 29 (1 ULg) A phase I trial of sunitinib, a tyrosine kinase inhibitor (TKI) combined with ionizing irradiation in rectal cancerCoucke, Philippe ![]() in Belgian Journal of Medical Oncology [=BJMO] (2009), 3(3), 117 Detailed reference viewed: 9 (2 ULg) Tumor Margin after conservative breast cancer surgery for early disease: an issue or not ?Coucke, Philippe ; ; Vanderick, JEAN et alin Belgian Journal of Medical Oncology [=BJMO] (2009), 3(3), 93-100 Summary is standard of care. However, the question is Conservative breast surgery (CBS), i.e. tumorec- whether this approach is able to consolidate local tomy (TUM), has replaced more radical surgical ... [more ▼] Summary is standard of care. However, the question is Conservative breast surgery (CBS), i.e. tumorec- whether this approach is able to consolidate local tomy (TUM), has replaced more radical surgical control irrespective of the extent of the surgical approaches such as mastectomy (MAST) and margin. No consensus exists in the literature con-quadrantectomy (QUAD). The aim of surgeons is cerning what should be considered as a minimal to avoid recurrence and still obtain a good cos-and hence a safe margin. This review will summetic result. After CBS for early disease, adjuvant marize the published data in order to try to define radiation consisting of whole breast irradiation a pragmatic treatment approach. followed by a boost dose on the surgical bed is standard of care. However, the question is whether this approach is able to consolidate local control irrespective of the extent of the surgical margin. No consensus exists in the literature concerning what should be considered as a minimal and hence a safe margin. This review will summarize the published data in order to try to define a pragmatic treatment approach. [less ▲] Detailed reference viewed: 42 (4 ULg) A dosimetric study comparing breast radiotherapy planned in the prone versus supine positions and via conformal 3D versus IMRT techniquesCoucke, Philippe ![]() in Belgian Journal of Medical Oncology [=BJMO] (2009), 3(3), 117 Detailed reference viewed: 7 (1 ULg) Is an evidence-based approach unrealistic in NSCLC?Coucke, Philippe ; Barthelemy, Nicole ; Bosquee, Léon et alin Belgian Journal of Medical Oncology [=BJMO] (2008), volume 2(6), 326-333 Summary Non-small cell lung cancer (NSCLC) is a heterogeneous tumour. A wide variety of treatment options is currently available. Surgery remains the mainstay of curative treatment and an operative ... [more ▼] Summary Non-small cell lung cancer (NSCLC) is a heterogeneous tumour. A wide variety of treatment options is currently available. Surgery remains the mainstay of curative treatment and an operative approach will be selected in function of disease stage, tumour resectability and performance status of the patient. Adjuvant chemotherapy is considered standard at least for stage II and III disease. In stage III disease, resectability should be decided in function of the cytological/histological confirmation of N2 disease. If N2-disease cannot be highlighted at work-up, the patients are submitted to surgery followed by adjuvant chemotherapy. If patients are staged pN0-pN1 after surgery, ostoperative radiotherapy should not be given. However, if pN2 is discovered at surgery, there might be a place for postoperative radiotherapy but this still needs confirmation. In case of cytological/histological confirmation of pN2 disease prior to surgery, patients should not be operated but treated with a combination of oncomitant chemoradiotherapy. This treatment algorithm will be evaluated by reviewing the published evidence issued from randomized controlled trials. [less ▲] Detailed reference viewed: 29 (11 ULg) Risk adaptive treatment in Hodgkin's lympoma: reduction of radiation dose and irradiated volumeCoucke, Philippe ; Barthelemy, Nicole ; Hustinx, Roland et alin Belgian Journal of Medical Oncology [=BJMO] (2008), 2(2), 85-97 Treatment–related late complications on nontarget normal tissues and appearance of secondary malignancies are well known side-effects induced by effective treatment regimens currently used in the curative ... [more ▼] Treatment–related late complications on nontarget normal tissues and appearance of secondary malignancies are well known side-effects induced by effective treatment regimens currently used in the curative approach of early and advanced Hodgkin’s lymphoma. Radiotherapy (RT) and chemotherapy (CT) can lead to these late complications. Efforts have been conducted to reduce the morbidity and mortality related to these treatments. In particular there has been a progressive shift from radiotherapy used as sole modality to chemotherapy as first line followed by consolidation radiotherapy. As the side-effects of radiotherapy are linked to dose, volume and interaction with chemotherapy, trials have been launched to assess the impact of modifying the characteristics of the radiation treatment. For early-stage Hodgkin’s lymphoma radiotherapy cannot be avoided but dose and volume can be reduced. In advanced Hodgkin’s lymphoma omitting radiotherapy seems reasonable only in case of complete response (CR). The clinical trials allowing such a paradigm shift are highlighted in this review. [less ▲] Detailed reference viewed: 46 (14 ULg) |
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