原名「台灣學術線上」
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1
題名:RADIOTHERAPY OF GERM CELL TUMOR IN BASAL GANGLION: CASE REPORT AND REVIEW OF LITERATURE     (12點)
顱內胚細胞瘤之放射線治療:病例報告及文獻回顧
著者:Hui-Ling Yeh(葉慧玲) ;Jian-Sheng Jan(詹建勝)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:顱內胚細胞瘤 ; 三度空間順形放射線治療 ; Intracranial germinoma ; 3D-conformal radiation therapy
刊名:Therapeutic Radiology and Oncology
頁碼:113-118
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

一名十五歲男性因突發性右側無力住院。經腦部電腦斷屑掃瞄於左腦基底核發現一巨大囊狀腫瘤。因無法以核磁共振掃瞄或腦部血管攝影檢查排除為動靜脈畸形瘤,於是開刀取樣化驗。經病理報告證實搞顱內胚細胞瘤後, 施以低劑量全腦放射線治療,立在於原病仕以三度空間順形放射線治療方式補強劑量。病人術後血中H CG及A F P 濃度偏高,於放射治療後皆下降至低於正常{宜。放射線治療後三個月於病人的腦部電腦斷層掃瞄中提未發現殘餘腫瘤。病人於放射線治療後, 其右側無力之現象已明顯改善。病人於治療中1世無意; 性副作用, 追蹤至今無明顯神經性後遺痕。本文藉此罕見病例分享治療經驗及回顧近期文獻記錄。
A 15 year-old boy was sent to our Neurologic Department because of severe headache and sudden onset of right hemiparesis. Neurologic examination showed motor dysfunction of right upper limb, bilateral temporal visual field deficits and impaired visual acuity. Computer tomographic scan and magnetic resonance imaging showed a mass lesion in the left basal ganglion region. He received craniotomy for partial resection of the tumor and the nature of the tumor was proved to be germinoma, histologically. He was then treated by radiotherapy with a mean dose of 21 Gy to the whole brain and an additional boosting dose of 20 Gy to the tumor bed by three-dimensional conformal radiotherapy. There was an elevation in the serum concentration of beta-human chorionic gonadotropin (B-HCG) and alfa-fetoprotein (AFP) after the operation which suggested the possibility of other germ cell components in the tumor. However, the response of radiotherapy was good. No obvious residual tumor was found from the CT scan followed up after the irradiation. Both serum level of HCG and AFP returned to nearly normal level after radiotherapy. No acute radiation toxicity was noted during irradiation and the muscle power of his right arm improved after follow- up for one year until the present. Long-term follow-up and further clinical studies are needed to determine the benefit of this moderate dose radiotherapy.


    

本卷期目次
Therapeutic Radiology and Oncology
THREE DIMENSIONAL CONFORMAL RADIOTHERAPY FOR PORTAL VEIN TUMOR THOMBOSIS IN ADVANCED HEPATOCELLULAR CARCINOMA/ Chien-Ru LiuChih-Lin LinLi-Ying LiaoHsing-Yang TuChi-Fu HungChaur-Shine WangJyh-Der Leu
淬取大腦影像正中矢狀切面進行三維電腦斷層與磁振造影的對準與融合/ 周銘鐘蕭正英陳志成
188Re液體貝他射源於血管近接治療之劑量評估與量測技術/ 林威廷羅崇功朱健豪謝柏滄黃文松
鼻咽癌病患接受體外放射治療─局部治療劑量4500cGy以下結果之探討/ 黃意婷白冰清曾振淦林倩伃洪志宏曾雁明
高密度金屬物質在直線加速器放射治療之劑量擾動效應的蒙地卡羅模擬/ 張柏菁李宗其許任玓葉健一陳俊丞徐椿壽
RADIOTHERAPY OF GERM CELL TUMOR IN BASAL GANGLION:CASE REPORT AND REVIEW OF LITERATURE/ Hui-Ling YehJian-Sheng Jan
RADIOTHERAPY FOR EXTRAMAMMARY PAGET'S DISEASE OF THE VULVA:REPORT OF TWO CASESsease of the vulva:report of two cases/ Ming-Wei YangHelen H.W.ChenJulia Yu-Yun LeeSheau-Chiou ChaoHenry W.C.Leung
RADIOTHERAPY FOR EXTRAMAMMARY PAGET'S DISEASE OF THE VULVA: REPORT OF TWO CASES/ Ming-Wei YangHelen H. W. ChenJulia Yu-Yun LeeSheau-Chiou ChaoHenry W. C. Leung
RADIOTHERAPY OF GERM CELL TUMOR IN BASAL GANGLION: CASE REPORT AND REVIEW OF LITERATURE/ Hui-Ling YehJian-Sheng Jan
鼻咽癌病患接受體外放射治療-局部治療劑量4500cGy以下結果之探討/ 黃意婷白冰清曾振淦林倩?洪志宏曾雁明
THREE DIMENSIONAL CONFORMAL RADIOTHERAPY FOR PORTAL VEIN TUMOR THROMBOSIS IN ADVANCED HEPATOCELLULAR CARCINOMA/ Chien-Ru LiuChih-Lin LinLi-Ying LiaoHsing-Yang TuChi-Fu HungChaur-Shine WangJyh-Der Leu
高密度金屬物質在直線加速器放射治療之劑量擾動效應的蒙地卡羅模擬/ 張柏菁李宗其許任玓葉健一陳俊丞徐椿壽
淬取大腦影像正中矢狀切面進行三維電腦斷層與磁振造影的對準與融合/ 周銘鐘蕭正英陳志成
188Re液體貝他射源於血管近接治療之劑量評估與量測技術/ 林威廷羅崇功朱健豪謝柏滄黃文松
 
   
 
   

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