Tanum G, Tveit K M, Giercksky K E
Onkologisk avdeling, Det Norske Radiumhospital, Oslo.
Tidsskr Nor Laegeforen. 1992 May 10;112(12):1599-600.
Most patients with rectal carcinomas undergo surgery, either a resection with anastomosis or Miles' operation with permanent colostomy. Endocavitary radiotherapy is an alternative to surgery in patients with small carcinomas (Dukes' A) or adenovillous adenomas. The treatment is cheap, simple, gives good local tumour control, has low morbidity and does not require hospitalization. The Norwegian Radium Hospital has recently started to use this method in selected cases of rectal carcinomas.
大多数直肠癌患者会接受手术,要么是吻合术切除,要么是行永久性结肠造口术的迈尔斯手术。腔内放射治疗是小癌灶(杜克A期)或腺绒毛状腺瘤患者手术的替代方案。该治疗费用低廉、操作简单,能实现良好的局部肿瘤控制,发病率低且无需住院。挪威镭医院最近已开始在部分直肠癌病例中采用这种方法。