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dvdDiy扣件原住民教育困境OTA
   
   
   
     
   
 
項次 書目
1
題名:OUTCOME OF RADIOTHERAPY FOR PRIMARY OPERABLE INVASIVE BREAST CANCER AT A MEDICAL CENTER     (22點)
一醫學中心可手術之侵襲性乳癌的放射治療成果
著者:Helen H. W. Chen(陳海雯) ;Tsai-Wang Chang(張財旺) ;Wu-Chou Su(蘇五洲) ;How-Ran Guo(郭浩然) ;Chao-Jung Tsao(曹朝榮) ;Henry W. C. Leung(梁永昌)
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 ; 乳癌 ; 臨床治療成果 ; Radiotherapy ; Breast neoplasms ; Clinical Outcome
刊名:Therapeutic Radiology and Oncology
頁碼:221-231
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

且且: 評估原發乳癌病人在一醫學中心從公元1 98 8 到2∞0 年接受完整放射治療療程後的臨床治療成果。 材料血?可注: 自1 98 8 年到2∞0 年間, 在作者服務之醫學中心的放射腫瘤部共連續有3 4 1 位可于術之侵襲性乳癌的病人接受完整療程之放射治療。對那些接受乳房切除術的病人, 放射治療主要照射其前胸壁及其附近之淋巴結, 其照射劑量的中數為5 0 G y 共計2 5 次照射: 對接受乳房保留手術的病人, 放射治療則另外追加1 5到2 0 Gy 的劑量使其總劑量達到6 5- 70 Gy "本研究藉由回顧病歷取得每位病人的相關資料,並比較臨床的治療成果。 輯是: 這3 4 1 位病人的追蹤期問自7 個月至13. 1 年不等, 其中數為追蹤2 . 6 年。其中1 42 位病人接受乳房保留手術, 1 9 9 位病人接受乳房切除術: 有2 64 位病人( 77 % ) 接受輔助性的化學治療。其五年的疾病局部控制率為9 0. 5 % ' 其五年的無疾病存活率為71. 8 % ' 其五年的全部存活率為8 1. 4 %。以疾病的分期來看, 其五年的無疾病存活率和疾病局部控制率分別為: 第一期9 5 . 5 %和1 0 0% '第二A期的.2 %和9 8 % ' 第二B 期6 2 .4 %和92 .1% '第三A期5 8 . 8 %和8 0.5 % '第三B期4 3.7%和7 5 .4% 。全部共有2 4位病人( 7 . 1 % ) 在5 個月到5.5 年後發生局部復發( 中數為1. 6年) ,但對1 4 2 位接受乳房保留手術台併放射治療的病人, 至今只有l 位有局部復發( 中數為2 .1 年) 臼 益益: 乳癌的放射治療為一非常有效的局部控制疾病的治療方法, 我們的治療成果和其他醫學中心不相上下,對接受乳房保留手術台併放射治療的病人來說,我們目前有很低的局部復發率。
Purpose : To evaluate the treatment outcome of patients with primary operable invasive breast cancer who received radiotherapy at a medical center from 1988 to 2000. Materials and Methods : We recruited 341 consecutive patients of primary operable invasive breast cancer who received radiotherapy in the department of radiation oncology of the authors’ medical center from 1988 to 2000. A median dose of 50 Gy in 25 fractions was delivered to the chest wall and/or regional lymph nodes of patients who had received mastectomy. For those who had received breast-conserving surgery, another tumor boost dose of 15 to 20 Gy (total dose: 65 to 70 Gy) was given. Information on each patient was collected by reviewing the medical records, and clinical outcome was compared. Results : The median follow-up time for the 341 patients was 2.6 years (range, 7 months to 13.1 years). Among them, 142 received breast-conserving surgery and 199 received mastectomy. Systemic chemotherapy was used on 264 patients (77%) as a neoadjuvant or adjuvant treatment. The local-control rate at 5 years was 90.5%. The disease- free survival at 5 years was 71.8%. The overall survival at 5 years was 81.4%. The disease-free survival and local control at 5 years by stage were 95.5% and 100% for stage I, 93.2% and 98% for stage IIA, 62.4% and 92.1% for stage IIB, 58.8% and 80.5% for stage IIIA, and 43.7% and 75.4% for stage IIIB, respectively. A total of 24 patients (7.1%) had locoregional recurrence, which occurred at 5 months to 5.5 years (median, 1.6 years). But for the 142 BCS patients, only one of them developed local recurrence till now (median, 2.1 years). Conclusion : Radiotherapy is a very effective adjuvant treatment on local control in breast cancer patients. Survival and local recurrence rates were comparable to other series. Our results also showed a very low rate of recurrence for patients receiving breast-conserving surgery followed by radiotherapy.


    

本卷期目次
Therapeutic Radiology and Oncology
Management OF Soft Tissue Sarcoma OF Lower Limb - 2 Case Reports AND Review OF THE Literature/ Tai-Sheng TanHui-Ling YehJian-Sheng Jan
Comparision OF Treatment Plans FOR Nasopharyngeal Carcinoma: Bil-Lateral Opposing, 3D Conformal AND Intensity Modulated Radiotherapy/ Joseph Tung-Chieh ChangChin-Cheng ChenShen-Hao LeeJr-Uei HoAnn-Joy ChengJi-Hong Hong
Outcome Of Radiotherapy For Primary Operable Invasive Breast Cancer AT A Medical Center/ Helen H.W. ChenTsai-Wang ChangWu-Chou SuHow-Ran GuoChao-Jung TsaoHenry W.C. Leung
Treatment OF Nasopharyngeal Carcinoma With Unusual Histological Features/ You-Kang ChangPing-Ching PaiMiao-Fen ChenSimon G. TangJoseph T. ChangJi-Hong HongNgan-Ming Tsang
表層組織之深度百分率劑量曲線的蒙地卡羅模擬/ 林松彥林招膨劉幕台朱鐵吉
Local Recurrence After Postmastetomy Irradiation IN Breast Cancer/ Chih-Jen HuangShi-Long LianMing-Feng HouJen-Yang TangMing-Yii HuangShu-Yi WeiYu-Hui Ho
Clinical Studies OF 283 Patients With Undifferentiated Carcinoma OF THE Nasopharynx (UCN) Treated BY Radiotherapy/ Chi-Yuan YehJeng-Fong ChiouMu-Tai Liu
Prophylactic Para-Aortic Radiotherapy AND Concomitant Chemotherapy FOR Patients With Cervical Carcinoma:Preliminary Analysis OF Outcome AND Toxicity/ Jason Chia-Hsien ChengHui-Ju ChangYahn-Kun ChiouCheng-I HsiehTran-Der TanSkye Hon-Giun ChengJames Jer-Min JianAndrew T. Huang
OUTCOME OF RADIOTHERAPY FOR PRIMARY OPERABLE INVASIVE BREAST CANCER AT A MEDICAL CENTER/ Helen H. W. ChenTsai-Wang ChangWu-Chou SuHow-Ran GuoChao-Jung TsaoHenry W. C. Leung
CLINICAL STUDIES OF 283 PATIENTS WITH UNDIFFERENTIATED CARCINOMA OF THE NASOPHARYNX (UCN) TREATED BY RADIOTHERAPY/ Chi-Yuan YehJeng-Fong ChiouMu-Tai Liu
PROPHYLACTIC PARA-AORTIC RADIOTHERAPY AND CONCOMITANT CHEMOTHERAPY FOR PATIENTS WITH CERVICAL CARCINOMA: PRELIMINARY ANALYSIS OF OUTCOME AND TOXICITY/ Jason Chia-Hsien ChengHui-Ju ChangYahn-Kun ChiouCheng-I HsiehTran-Der TanSkye Hon-Giun ChengJames Jer-Min JianAndrew T. Huang
LOCAL RECURRENCE AFTER POSTMASTETOMY IRRADIATION IN BREAST CANCER/ Chih-Jen HuangShi-Long LianMing-Feng HouJen-Yang TangMing-Yii HuangShu-Yi WeiYu-Hui Ho
TREATMENT OF NASOPHARYNGEAL CARCINOMA WITH UNUSUAL HISTOLOGICAL FEATURES/ You-Kang ChangPing-Ching PaiMiao-Fen ChenSimon G. TangJoseph T. ChangJi-Hong HongNgan-Ming Tsang
COMPARISION OF TREATMENT PLANS FOR NASOPHARYNGEAL CARCINOMA: BIL-LATERAL OPPOSING, 3D CONFORMAL AND INTENSITY MODULATED RADIOTHERAPY/ Joseph Tung-Chieh ChangChin-Cheng ChenShen-Hao LeeJr-Uei HoAnn-Joy ChengJi-Hong Hong
表層組織之深度百分率劑量曲線的蒙地卡羅模擬/ 林松彥林招膨劉幕台朱鐵吉
MANAGEMENT OF SOFT TISSUE SARCOMA OF LOWER LIMB-2 CASE REPORTS AND REVIEW OF THE LITERATURE/ Tai-Sheng TanHui-Ling YehJian-Sheng Jan
放射治療與腫瘤學第七卷作者姓名與索引
Subject Index OF Volume 7 OF Therapeutic Radiology AND Oncology
 
   
 
   

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