Research Article

Comparable Clinical Outcome Using Small or Large Gross Tumor Volume-to-Clinical Target Volume Margin Expansion in Neoadjuvant Chemoradiotherapy for Esophageal Squamous Cell Carcinoma

Table 2

Patterns of recurrence.

Site of recurrenceSmall margin group (N = 37)Large margin group (N = 102) value

Any recurrence18 (48.6%)56 (54.9%)0.645
Local recurrence4 (10.8%)7 (6.9%)0.684
Regional recurrence11 (29.7%)35 (34.3%)0.761
 In-field recurrence7 (18.9%)22 (21.6%)0.917
 In-field recurrence without out-field recurrence1 (2.7%)15 (14.7%)0.097
 Out-field recurrence10 (27.0%)20 (19.6%)0.480
 Out-field recurrence without in-field recurrence4 (10.8%)13 (12.7%)0.988
 In-field and out-field recurrences6 (16.2%)7 (6.9%)0.179
Distant metastasis16 (43.2%)51 (50.0%)0.608
 Lung10 (27.0%)30 (29.4%)0.950
 Nonregional lymph node5 (13.5%)22 (21.6%)0.413
  Supraclavicular fossa3 (8.1%)16 (15.7%)0.384
  Neck2 (5.4%)9 (8.8%)0.761
  Intra-abdominal2 (5.4%)9 (8.8%)0.761
  Axilla2 (5.4%)1 (1.0%)0.354
Liver4 (10.8%)16 (15.7%)0.652
Bone2 (5.4%)12 (11.8%)0.434
Pleural seeding2 (5.4%)8 (7.8%)0.904
Others5 (13.5%)13 (12.7%)1.000

Adrenal gland = 2, kidney = 2, and hypopharynx = 1. Peritoneal seeding = 5, adrenal gland = 3, kidney = 3, pancreas = 2, hypopharynx = 1, brain = 1, cecum = 1, and psoas muscle = 1. One patient had both peritoneal seeding and pancreatic metastasis, and another patient had both adrenal and cecal metastasis. One patient had peritoneal, renal, and psoas muscle metastasis.