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1
題名:Relief of Dysphagia by Palliative Intracavitary Brachytherapy for Recurrent Esophageal Cancer-Two Cases Report     (12點)
以姑息性腔內近接治療改善食道癌局部復發的吞嚥困難:兩案例報告
著者:Yih-Chyang Weng(翁益強) ;Hsien-Chun Tseng(曾顯群) ;Leon L. Y. Chen(陳琳燕) ;Jian-Sheng Jan(唐建勝)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:腔內近接治療 ; 食道癌 ; Intracavitary brachytherapy ; Esophageal cancer
刊名:Therapeutic Radiology and Oncology
頁碼:57-62
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

且且﹒ 用姑息性腔內近接治療改善食道癌局部復發的吞嘸困難報告。 材料且竟是: 自1 9 9 6 年1 月兩名食道癌局部復發患者因吞嘸困難接受腔內近接治療, 利用amicroSelectron-HDR a fterloading device, Iridium-192 射源與一特別為食道設計的導管來治療。第一例給予治療範間是長度九公分, 半徑是一公分, 總劑量是2 0 0 0 cGy 分1 0 fractions ' 在兩周完成。第二例給予治療範因是長度二公分,半徑是一公分,總劑量是2 0 0 0 c Gy 分4 fractions '在十二日內完成。 益墨: 第一例接受5 fraction 後, 已經可以喝流質實物, 在兩周完成後, 無急性副作用, 不過患者在治療後第三個月因腫瘤出血及惡質體去世。第二例經近接治療後,患者感到吐口水少很多,生活品質有改善, 無急性副作用,不過患者在治療後第三個月因肺炎及惡質體去世。此種治療能改善患者生活品質,且無明顯副作用,除了輕微食道炎。 誼益: 腔內近接治療可以使曾接受體外放射治療而局部復發食道癌患者的吞瞭困難症狀獲得改善。
Purpose: To report the result of palliative intracavitary brachytherapy in recurrent esophageal cancer patient. Materials and Methods: Since January 1996, there were two recurrent esophageal cancer patients with symptoms of severe dysphagia who received intracavitary brachytherapyas palliative treatment. The treatment were carried out by a microSelectron-HDR afterloading device with Iridium-192 radiation source and a special catheter which was designed for esophageal applications. One patient was treated by a treatment volume including the middle third of the esophagus, 9 cm in length, the prescribed dose point was one cm in depth from the central axis of the source. The total treatment dose was 2000 cGy in 10 fractions within 2 weeks. The brachytherapy for another patient was arranged to cover the upper part of the esophageal tumor with 2 cm in length and the prescribed dose point was one cm in depth. The total treatment dose was 2000 cGy in 4 fractions within 12 days. Results: The symptoms of the first patient had improved after the first 5 fractions of HDR treatments. He could eat liquid diet after this treatment but odynophagia occurred. Two months later, he expired due to tumor bleeding and cachexia. After 2 fractions of intracavitary brachytherapy, the second patient could swallow some saliva, and the NG tube could be inserted more deeply. He felt better due to less production of saliva after treatment. He expired due to pneumonia in two months. The purpose of improving quality of life could be reached via this kind of treatment without severe acute toxicity except for grade one esophagitis. Conclusion: Palliative intracavitary brachytherapy can be a successful treatment for relief of dysphagia for patients with recurrent esophageal cancer patients with previous external beam radiotherapy.


    

本卷期目次
Therapeutic Radiology and Oncology
以等中心點相切照野技術治療乳癌患者時之對側乳房劑量評估及屏蔽效應/ 洪茂欽梁雲廖宗義呂宗憲吳嘉明
Outpatient Continuous Infusional Chemotherapy with Ambulatory Infusional Puma-The Early Experience of Outpatient Chemotherapy Unit at the Veterans General Hospital-Taipei/ S. Y. ChenL. L. LiangS. L. ChangM. L. MengS. H. YenC. K. LowK. H. ChiK. Y. Chen
Relief of Dysphagia by Palliative Intracavitary Brachytherapy for Recurrent Esophageal Cancer Two Cases Report/ Yih-Chyang WengHsien-Chun TsengLeon L. Y. ChenJian-Sheng Jan
子宮頸癌放射治療的結果及直腸後遺症的分析(新光醫院的五年經驗)/ 陳尚文林芳仁梁基安楊世能劉瑞燦徐振邦蕭安成吳學鼎
Palliative Radiotherapy for Synchronous Brain Metastases from Lung Cancer/ Ching-Yhe HsiungStephen Wan LeungSing-Kai LoChong-Jong WangHui-Chun ChenLi-Min SunFu-Min Fang
Retrospective Study of Pediatric Acute Leukemia/ Ming-Yii HuangChih-Jen HuangShi-Long LianJen-Yang TangYu-Hui Ho
Inverted Papilloma with Sarcomatoid Carcinoma in the Nasal Cavity: A Case Report/ Wen-Haw SuMeng-Haw WuKou-Hwa Chang
參加史丹佛大學強度調變放射治療(IMRT)研習會心得簡報/ 王重榮陳翰森梁雲
Establishment and Characterization of Genetically Modified Cancer Cells for Experimental Cancer Therapy/ Rang-Lang YenYuh-Chuen CheChih-Hong LoHung-Hsueh ChouChieh-Sheng Tsai
Establishment and Characterization of Genetically Modified Cancer Cells for Experimental Cancer Therapy/ 顏榮郎車玉春羅志宏周宏學蔡介生
子宮頸癌放射治療的結果及直腸後遺症的分析(新光醫院的五年經驗)/ 陳尚文林芳仁梁基安楊世能劉瑞燦涂振邦蕭安成吳學鼎
Outpatient Continuous Infusional Chemotherapy with Ambulatory Infusional Pump-The Early Experience of Outpatient Chemotherapy Unit at the Veterans General Hospital-Taipei/ S. Y. ChenL. L. LiangS. L. ChanglM. L. MengS. H. YenC. K. LowK. H. ChiK. Y. Chen
Palliative Radiotherapy for Synchronous Brain Metastases from Lung Cancer/ Ching-Yeh HsiungStephen-Wan LeungSing-Kai LoChong-Long WangHui-Chun ChenLi-Min SunFu-Min Fang
Retrospective Study of Pediatric Acute Leukemia/ Ming-Yii HuangChih-Jen HuangShi-Long LianJen-Yang TangYu-Hui Ho
以等中心點相切照野技術治療乳癌患者時之對側乳房劑量評估及屏蔽效應/ 洪茂欽梁雲廖宗義呂宗憲吳嘉明
Inverted Papilloma with Sarcomatoid Carcinoma in the Nasal Cavity: A Case Report/ Wen-Haw SuMeng-Haw WuKou-Hwa Chang
Relief of Dysphagia by Palliative Intracavitary Brachytherapy for Recurrent Esophageal Cancer-Two Cases Report/ Yih-Chyang WengHsien-Chun TsengLeon L. Y. ChenJian-Sheng Jan
參加史丹佛大學強度調變放射治療(IMRT)研習會心得簡報/ 王重榮陳翰森梁雲
 
   
 
   

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