Takácsi Zoltán Nagy, Varga János, Poller Imre, Fodor János, Major Tibor, Németh György
Sugárterápiás Osztály, Országos Onkológiai Intézet, Budapest 1122, Hungary.
Magy Onkol. 2003;47(2):161-3. Epub 2003 Sep 16.
To present a unique case of an early (T1N0M0) adenocarcinoma of the head of the pancreas, which was successfully treated with radiotherapy alone.
After the computer tomography operated histological verification the combination of interstitial high dose rate after-loading brachytherapy (18 Gy, 6 Gy/die) and percutan irradiation (46 Gy) was applied.
Fifty-two months after completion of the treatment the patient is alive with no evidence of disease.
The combination of these therapeutic modalities may be an effective tool to deliver curative dose without any significant sequelae in the treatment of operable pancreatic carcinoma, when the patient's condition contraindicates surgery.
报告一例早期(T1N0M0)胰腺头部腺癌的独特病例,该病例仅通过放疗就成功治愈。
经计算机断层扫描进行组织学验证后,采用组织间高剂量率后装近距离放疗(18 Gy,6 Gy/次)与经皮照射(46 Gy)相结合的方法。
治疗结束52个月后,患者存活且无疾病迹象。
当患者病情不适合手术时,这些治疗方式的联合应用可能是在可手术胰腺癌治疗中给予根治性剂量且无明显后遗症的有效手段。