原名「台灣學術線上」
包含TAO期刊庫 + TAO書籍庫 + 論文 + 史料文獻
首頁 | 關於TAO | 瀏覽 | 進階查詢 | 參考工具 | 會員服務 | 已購專書 | RSS服務 | 電子報 | FAQ  
查詢範圍:
   
查詢模式:
熱門查詢詞:
dvd網咖消費者顧客滿意度資優生world
   
   
   
     
   
 
項次 書目
1
題名:MANAGEMENT OF SOFT TISSUE SARCOMA OF LOWER LIMB-2 CASE REPORTS AND REVIEW OF THE LITERATURE     (16點)
下肢軟組織肉瘤之治療-二例病例報告及文獻回顧
著者:Tai-Sheng Tan(譚台笙) ;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:軟組織肉瘤 ; 肢體保留療法 ; 組織插種近接治療 ; Soft tissue sarcoma ; Interstital brachytherapy ; Limb-salvage therapy
刊名:Therapeutic Radiology and Oncology
頁碼:283-290
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

二名罹患下肢軟組織肉瘤病患, 於台中榮總接受于術及組織間近接治療。此二名病人到院時皆已為晚期患者,但是病患皆有強烈意願保留其患肢臼於是本院為其治療,採肢體保持手術即實施行大範圍切除腫瘤,並於于術中於患部埋設術後近接治療之管子, 以l 公分為間隔,排列於腫瘤挖取後之空間及其鄰近組織。手術後以柏拉圖近接治療計劃系統進行各別治療計畫。在手術後第四天於患部施行組織間近接放射治療。近接放射治療之總劑量分別為2 8 8 0 c Oy 及2800 cOy ,並以一天兩次共分八次給予o其中一人外加體外照射4∞o c Oy " 另一人因患有糖尿病進接治療後延遲傷口癒台,因此沒有加照體外照射。此二名病患於治療一年後,對於其保留下來的思肢功能,皆有高度之滿意度。除於患肢有局部肌肉纖維化並無其他併發症,轉移或局部復發之發現。 經由此二例病患之治療結果,除了保留了患者的下肢, 也增加患者對抗疾病的信心,進而改善患者的生活品質U 雖然此法可改善發生於肢體之軟組織肉瘤的局部控制率, 但是這並不代表可增加患者之長期存活率。日後對此二例病患之長期追蹤實為必要並希望有好的預後結果出現。
Two cases of lower limb soft tissue sarcoma, one malignant fibrous histiocytoma and one liposarcoma, were treated by surgery and a postoperative high dose rate of interstitial brachytherapy with and without external beam irradiation in Taichung Veteran General Hospital. Both cases were advanced stage and high grade in histology at presentation and had a high concern for leg preservation. Conservative surgical treatments were performed by wide excision and marginal excision, respectively. The interstitial catheters were implanted with 1-cm spacing in a parallel array intra-operatively. High dose rate brachytherapy was planned by Plato Brachytherapy Planning System and was started 4 days after the operation by the application of the microselection afterloader using iridium-192 as the irradiation source. The total doses were 2880cGy and 2800cGy respectively and were applied in 8 and 7 fractions respectively twice a day for 4 days. External irradiation with 4000cGy in 20 fractions was given to one case but was withheld in the second case due to delayed wound healing after brachytherapy. There were no significant wound complications in the first case. There was also no bone fracture or peripheral nerve damage in either case except muscle fibrosis occurred after the irradiation. Both of the patients were satisfied with the function of the preserved limbs during a follow up one year later. No local recurrence or distant metastasis was seen at present. For advanced lower limbs soft tissue sarcoma, wide excision plus interstitial brachytherapy may be an alternative management for the preservation of the limbs. Though we had a good initial local control of these two cases but it does not indicate there will be a good prognosis later on. However it did improve the patient s quality of life and their self-confidence in facing the disease. Further long-term follow-up is necessary and hopefully there will be good long-term survival in the future.


    

本卷期目次
Therapeutic Radiology and Oncology
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
Treatment OF Nasopharyngeal Carcinoma With Unusual Histological Features/ You-Kang ChangPing-Ching PaiMiao-Fen ChenSimon G. TangJoseph T. ChangJi-Hong HongNgan-Ming Tsang
Local Recurrence After Postmastetomy Irradiation IN Breast Cancer/ Chih-Jen HuangShi-Long LianMing-Feng HouJen-Yang TangMing-Yii HuangShu-Yi WeiYu-Hui Ho
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
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
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
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
 
   
 
   

與TAO合作 | 隱私與版權聲明 | 聯絡方式 | 下載Adobe Reader
地址:台北市中正區(100)北平東路30-12號3樓
電話:(02)2393-6968 傳真:(02)2393-6877
Email: service@wordpedia.com
Wordpedia Family: 學校、企業版入口 | 遠流影音館
Copyright©2011 Wordpedia Co., Ltd. All Rights Reserved.