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題名:放射手術與多照野放射治療早期復發性鼻咽癌之臨床病例報告     (10點)
Radiosurgery and Multiple Co-Planar Fields in the Treatment of Recurrent Nasopharyngeal Cancer-A Case Report
著者:白冰清(P. C. Pai) ;曾雁明(N. M. Tsang) ;劉千如(C. J. Liu) ;李石增(S. T. Lee) ;湯國政(S. G. J. Tang)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:復發鼻咽癌 ; 立體定位X光刀 ; 放射治療 ; Recurrent nasopharyngeal cancer ; Stereotactic radiosurgery ; Radiotherapy
刊名:放射治療與腫瘤學
頁碼:65-69
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

目的. 復發鼻咽癌接受立體定位X 光刀及同平面七照野體外放射治療﹒ 追踩達3 2 個月之病例報.tt二。E司 材料與方法. 病例為接受放射治療後一年發生復發之鼻咽癒患者, 其接受了三度空間同平面七照野之體外放射治療, 劑量為5 0 .4 Gy 。再接受立體定位X 光刀, 取2 個等劑量中心, 治療體積為4 1.75 立方公分﹒ 給予劑量於80% 等劑量曲線處為10 Gy 0 結果: 復發腫瘤治療後追踩32 個月仍無局部腫瘤進行的跡象, 以及相關後遺症的產生。 結論: 在追踩3 2 個月後, 仍維持局部腫瘤的控制﹒ 亦無相關後遺症產生。比起對復發鼻咽癌傳統的治療,包括手術、化學治療、放射近接治療及體外放射治療而言, 多~!l 野體外放射治療合{井之立體定位X光刀手術,在不降低局部腫瘤之控制下可減少後遺症。但仍需要長期評估對末期反應組織之影響。
Purpose: To report a case of locally recurrent nasopharyngeal cancer (NPC) remaining disea se-free 32 months after 7 porta ls of eo-planar external beams re-irradiation and LINAC-based stereotactic radio surgery. Materials and Methods: A NPC patient recurred at one year after the first local irradiation. He then was treated with a dose of 50 .4 Gy external radiotherapy delivered by 7 portal s of eo-planar beams and followed by 10 Gy LINAC -based stereotactic radio surgery. In radiosurgery , the dose was delivered by using of 2 isocenters and prescribed at the 80% isodose curve . The treatment volume was 41 .75 cubic centimeter. Results: After 32 months of follow up, no local recurrence or adverse effect is recognized . Conclusion: Multiple portal s of eo-p lana r external beam radiotherapy and radiosurgery in trea ting recurrent NPC is successful in local control and less complication than single treatme nt modality such as operation, chemotherapy, brachy therapy and regular external radiotherapy. Long-term follow up is necessary for further evaluation in late effec t on critical organs of this kind of combined treatment modalitie s.


    

本卷期目次
放射治療與腫瘤學
動態式楔形濾板穿透因子之測量/ 黃英明郭珍妮陳海雯王裕文
Treatment Results of Hodgkin's Disease from 1977 to 1991 in National Taiwan University Hospital/ Louis Tak LuiChih-Chiech HsuNa-Na ChungPo-Ming WangChao-Yuan HuangLai-Lei Ting
晚期子宮內膜癌/ 吳孟浩張國華賴允亮王銘志
Treatment Results of Oral Tongue Cancer/ Chao-Yuan HuangLouis Tak LuiPo-Ming WangNa-Na ChungLai-Lei Ting
全球資訊網(World Wide Web)上的放射治療Home Page:一年來的經驗與未來的展望/ 熊敬業梁雲陳翰森王重榮陳惠君孫立民方富民
Estimation of Complication Probability for Non-Uniform Normal Tissue Irradiation Using the Effective Volume Method and Normal Distribution/ Mu-Tai LiuChi-Yuan YehJao-Perng LiuShing-Sheng HuangChung-Chi LeeYu-Ming LiuKuang-Y. Chen
早期子宮內膜癌的治療與預後因子/ 王銘志吳孟浩張國華賴允亮鍾昌宏劉岱瑋陳裕仁
放射手術與多照野放射治療早期復發性鼻咽癌之臨床病例報告/ 白冰清曾雁明劉千如李石增湯國政
Evaluation of Major Salivary Gland Function by Sialoscintigraphy in Nasopharyngeal Carcinoma Patients Receiving Radiotherapy/ Ping-Kun WengShyh-Ing GuanYee-Min Jen
第四期鼻咽癌的預後因子/ 劉文山張慶雄胡渝昌陳建勳吳永平陳光耀
Aggressive Combined Moddality in Inflammatory Breast Carcinoma with Minimal Distant Metastasis-A Case Report/ Robert TanAndrew YoungChing-Tang Wu
第四期鼻咽癌的預後因子/ 劉文山張慶雄胡渝昌陳建勳吳永平陳光耀
早期子宮內膜癌的治療與預後因子/ 王銘志吳孟浩張國華賴允亮鍾昌宏劉岱瑋陳裕仁
Treatment Results of Oral Tongue Cancer/ Chao-Yuan HuangLouis Tak LuiPo-Ming WangNa-Na ChungLai-Lei Ting
Treatment Results of Hodgkin's Disease from 1977 to 1991 in National Taiwan University Hospital/ Louis Tak LuiChih-Chiech HsuPo-Ming WangNa-Na ChungChao-Yuan HuangLai-Lei Ting
Estimation of Complication Probability for Non-Uniform Normal Tissue Irradiation Using the Effective Volume Method and Normal Distribution/ Mu-Tai LiuChi-Yuan YehJao-Perng LinShing-Sheng HuangChung-Chi LeeYu-Ming LiuKuang Y. Chen
動態式楔形濾板穿透因子之測量/ 黃英明郭珍妮陳海雯王裕文
晚期子宮內膜癌/ 吳孟浩張國華賴允亮王銘志
Evaluation of Major Salivary Gland Function by Sialoscintigraphy in Nasopharyngeal Carcinoma Patients Receiving Radiotherapy/ Ping-Kun WengShyh-Ing GuanYee-Min Jen
放射手術與多照野放射治療早期復發性鼻咽癌之臨床病例報告/ 白冰清曾雁明劉千如李石增湯國政
Aggressive Combined Modality in Inflammatory Breast Carcinoma with Minimal Distant Metastasis-A Case Report/ Robert TanAndrew YoungChing-Tang Wu
全球資訊網(World Wide Web)上的放射治療Home Page:一年來的經驗與未來的展望/ 熊敬業梁雲陳翰森王重榮陳惠君孫立民方富民
 
   
 
   

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