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dvdDiy扣件原住民教育困境OTA
   
   
   
     
   
 
項次 書目
1
題名:Patterns of Pelvic Recurrence and Results of Salvage Treatment with Radiation Therapy for Recurrent Rectal Carcinoma     (18點)
直腸癌手術後的復發型態及放射線挽救性治療的結果
著者:Chong-Jong Wang(王重榮) ;Stephen Wan Leung(梁雲) ;Hui-Chun Chen(陳惠君) ;Li-Min Sun(孫立民) ;Fu-Min Fang(方富民)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:放射治療 ; 直腸癌復發 ; Radiation therapy ; Recurrent rectal carcinoma
刊名:Therapeutic Radiology and Oncology
頁碼:217-225
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

為了對直腸癌手術後復發的型態及使用放射線來作挽救性治療的效果及病患存活,情形有所了解,本文回顧性分析了5 6 個自1 9 87年11月至1 99 1年12月治療的病例。復發的症狀或表徵以尾椎底部疼痛最常見(6 6 % ) , 其次則是尿路阻塞( 4 5 % ) 。原始分期以B 3、C3 最多, 兩者合計占6 4 % 。復發的時間以手術後第一年最多占70 % ' 96 % 的復發發生在手術後的前三年, 只有4 % 的復發是手術後3 年發生。4 2 %的病例在復發時有C EA值的升高。腫瘤經放射治療後,在38例可評估病人中, 4 例(11 % ) 達完全消失, 18 例( 47%) 腫瘤縮小超過一半, 10 例( 26% ) 腫瘤縮小未達一半, 6 例(1 6%) 腫瘤沒有反應。局部疼痛改善方面,在3 1例單獨放射治療且以局部疼痛表現者' 1 0例( 3 2 % )自覺有良好改善' 1 4例( 4 5 % )自覺有改善但疼痛仍存在, 7 例( 2 3 % ) 自覺沒有改善。整體存活率為2 年1 9 %' 3 年7% ' 先行手術再放射治療和單獨使用放射治療兩者存活率並沒有統計上的差別0 2 %與5 % ) '有鑑於直腸癌手術後復發的不良預後,治療的目標應著手於局部復發的預防治療。
Patterns of pelvic recurrence and results of salvage with radiation therapy in 56 patients with postsurgical recurrent rectal carcinoma treated between November 1987 and December 1991 were retrospectively analyzed. The common presenting symptoms/signs were sacral pain (66%), following by obstructive uropathy (45%). In modified Astler-Coller classification, stage B3 and C3 are the most common initial stage of the patients, comprising 64% of cases. Presacral area was the most common site of recurrence (30%).70% of patients recurred at the first year of surgery . Cumulat ive rate of recurrence at 3 years was 96%. Only 4% of patients recurred beyond 3 years after surgery. 42% of cases had CEA elevation at the time of recurrenee. There were 38 patients evaluable for tumor re sponse to radiation therapy alone. Of them, 4 cases (11%) achieved complete tumor regression, 18 cases (47%) had partial tumor regression, 10 cases (26%) had tumor regression less than 50%, and 6 ca ses (16%) had no objective tumor regression. In 31 RT-alone patients with sacral pain, 10 cases (32%) achieved good pain relief, 14 cases (45%) achieved moderate pain relief, and 7 cases (23%) had no pain relief at all. Overall survival in 56 patients was 19% at 2years, and 7% at 3 years. No statistically significant difference of survival existed between surgery pI山radiation therapy and radiation-alone group. In viewing the grave outcome of recurrent patients, treatmen t strategy must be aimed at prevention of local recurrence for high risk group of patients.


    

本卷期目次
Therapeutic Radiology and Oncology
Patterns of Pelvic Recurrence and Results of Salvage Treatment with Radiation Therapy for Recurrent Rectal Carcinoma/ Chong-Jong WangStephen Wan LeungHui-Chun ChenLi-Min SunFu-Min Fang
Postoperative Radiotherapy for Malignant Gliomas/ Shyh-An YehStephen Wan LeungLi-Mm SunChong-Jong WangHuey-Jiun ChenFu-Min Fang
Postoperative Low Dose Single Fraction Irradiation for Prevention of Heterotopic Bone Formation after Hip Surgery/ Le-Jung WuSang-Hue YenTain-Hsiung ChenLing-Wei WangKwan-Hwa ChiKuang Y. Chen
C型行為與癌的關系-癌症心理學書評-/ 陳光耀
Curative Radiotherapy for Vocal Cord Carcinoma/ Weng Yih-ChyangJin-Ching LinJian-Sheng Jan
如何使用模擬攝影機之擋影托盤(shadow tray)确認擋塊位置/ 何聖佑鄭秀成雷德
Results of Radiation Therapy for Regional Stage T4 Nasopharyngeal Carcinoma/ Chi-Yuan YehYuen-Liang LaiChang-Hung ChungKou-Hwa ChangYih-Cherng Lai
醫用直線加速器系統構造與保養作業簡介/ 李財福梁雲王重榮許順能黃置柔吳嘉明
Study on Radiation Safety of High Dose Rate Multiple Cobalt-60 Sources Teletherapy Machine/ Sang-Hue YenYuh-Lin LeeLiung S. ChaoMax M. ChaoDavid HC PanKuang Y. Chen
維生素丙對鼷鼠放射線口腔黏膜炎修復與預防效應之研究/ 許文林黃經民任益民施榕平李恒昇李偉華
The Role of Epstein-Barr Virus Infection and the Immunocompetence of Patients with Nasopharyngeal Cancer/ Kuan-Chih ChowKuang Y. Chen
接受輻射治療之鼻咽腫瘤患者其視綱膜病變之評估/ 張東杰林淵謙陳墩祿楊克仁陳麗惠湯國政
西藏癌症與衛生醫療現況/ 顏上惠劉淑娟陳光耀
維生素丙對所鼷鼠放射線口腔黏膜炎修復與預防效應之研究/ 詩文林黃經民任益民施榕平李恆昇李偉華
Curative Radiotherapy for Vocal Cord Carcinoma/ Yih-Chyang WengJin-Ching LinJian-Sheng Jan
Results of Radiation Therapy for Regional Stage T4 Nasopharyngeal Carcinoma/ Chi-Yuan YehYuen-Liang LaiChang-Hung ChungKou-Hwa ChangYih-Cherng Lai
接受輻射治療之鼻咽腫瘤患者其視網膜病變之評估/ 張東杰林淵謙陳墩禄楊克仁陳麗惠湯國政
Postoperative Low Dose Single Fraction Irradiation for Prevention of Heterotopic Bone Formation after Hip Surgery/ Le-Jung WuSang-Hue YenTain-Hsiung ChenLing-Wei WangKwan-Hwa ChiKuang Y. Chen
Patterns of Pelvic Recurrence and Results of Salvage Treatment with Radiation Therapy for Recurrent Rectal Carcinoma/ Chong-Jong WangStephen Wan LeungHui-Chun ChenLi-Min SunFu-Min Fang
Postoperative Radiotherapy for Malignant Gliomas/ Shyh-An YehStephen Wan LeungLi-Min SunChong-Jong WangHuey-Jiun ChenFu-Min Fang
Study on Radiation Safety of High Dose Rate Multiple Cobalt-60 Sources Teletherapy Machine/ Sang-Hue YenYuh-Lin LeeLiung S. ChaoMax M. ChaoDavid HC PanKuang Y. Chen
The Role of Epstein-Barr Virus Infection and the Immunocompetence of Patients with Nasopharyngeal Cancer/ Kuan-Chih ChowKuang Y. Chen
如何使用模擬攝影機之擋影托盤(shadow tray)確認擋塊位置/ 何聖佑鄭秀成雷德
醫用直線加速器系統構造與保養作業簡介/ 李財福梁雲王重榮許順能黃置柔吳嘉明
西藏癌病與衛生醫療現況/ 顏上惠劉淑娟陳光耀
C型行為與癌的關係--癌症心理學書評--/ 陳光耀
 
   
 
   

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