Investigating the Local Effectiveness of Carbon Ion Radiotherapy for Unresectable Female Genital Tract Melanomas: A Preliminary Real-World Study
2024

Effectiveness of Carbon Ion Radiotherapy for Gynecological Melanomas

Sample size: 11 publication Evidence: moderate

Author Information

Author(s): Barcellini Amelia, Fontana Giulia, Vai Alessandro, Aletti Giovanni Damiano, Charalampopoulou Alexandra, Chiellino Silvia, Ditto Antonino, Landoni Fabio, Locati Laura Deborah, Mangili Giorgia, Martinelli Fabio, Piccolo Federica, Franzetti Jessica, Imparato Sara, Raspagliesi Francesco, Orlandi Ester, Strojan Primož, Gabrielli Brian

Primary Institution: National Center for Oncological Hadrontherapy (CNAO), Pavia, Italy

Hypothesis

The study aims to assess the effectiveness and tolerability of carbon ion radiotherapy (CIRT) in patients with inoperable gynecological mucosal melanoma.

Conclusion

CIRT was found to be effective and safe for treating gynecological melanomas, with high local control rates and manageable toxicity.

Supporting Evidence

  • 11 patients underwent pelvic CIRT for mucosal malignant melanoma.
  • The objective response rate (ORR) was 82% and clinical benefit (CB) was 100%.
  • Local control rates at 1 and 2 years were 100% and 86%, respectively.
  • The treatment was well tolerated with only mild toxicities observed.

Takeaway

This study shows that a special type of radiation therapy called carbon ion therapy can help treat a rare kind of cancer in women's reproductive organs, and it seems to work well without causing too many side effects.

Methodology

This is a real-world study involving patients treated with CIRT for unresectable gynecological mucosal melanoma, assessing effectiveness and safety with defined endpoints.

Limitations

The small sample size and short follow-up period limit the statistical strength of the conclusions.

Participant Demographics

All patients were Caucasian, with a median age of 72 years.

Statistical Information

P-Value

0.014

Confidence Interval

95% CI: 0.95–53.6%

Statistical Significance

p = 0.014

Digital Object Identifier (DOI)

10.3390/cancers16244147

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