26. Prognostic factors affecting the outcomes of consolidation radiotherapy for stage IVB nasopharyngeal carcinoma at Vietnam National Cancer Hospital
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Abstract
This study was conducted to evaluate factors related to the outcomes of consolidation radiotherapy in stage IVB nasopharyngeal carcinoma (NPC). A retrospective descriptive analysis was performed on 60 patients with stage IVB NPC who received consolidation radiotherapy following chemotherapy at Vienam National Cancer Hospital from January 2017 to December 2024. The median follow-up time was 21.9 months. The 12-month progression-free survival (PFS) and overall survival (OS) rates were 81.7% and 93.3%, respectively. Liver metastasis and metastasis involving two or more organs were associated with poor response to consolidative radiotherapy. Multivariate logistic regression analysis identified both factors as independent prognostic factors for treatment response (p < 0.05). However, no statistically significant association was found between metastatic characteristics and survival outcomes (p > 0.05).
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Keywords
Nasopharyngeal carcinoma, distant metastasis, consolidation radiotherapy, prognostic factors
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