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幕下和幕上脑干肿瘤的放射治疗。

Radiation of infratentorial and supratentorial brain-stem tumors.

作者信息

Lee F

出版信息

J Neurosurg. 1975 Jul;43(1):65-8. doi: 10.3171/jns.1975.43.1.0065.

DOI:10.3171/jns.1975.43.1.0065
PMID:167136
Abstract

A retrospective survey of 41 patients with unbiopsied thalamic, pontine, and medullary tumors treated with radiation therapy demonstrated 30% to 40% 3-year survival, with seven long-term survivors. Eleven of the 12 patients surviving over 3 years have essentially normal neurological function. Of seven patients in whom histological diagnoses were eventually obtained, four proved to have glioblastomas and three low-grade astrocytomas. Autopsy revealed that all glioblastomatous tumors extended beyond the treatment field; this suggested that larger volumes, perhaps the whole brain, should be irradiated. High doses (at least 5000 rads) should be used since the 3-year survival among those receiving such doses was 45%.

摘要

一项对41例未经活检的丘脑、脑桥和延髓肿瘤患者进行放射治疗的回顾性调查显示,3年生存率为30%至40%,有7名长期存活者。12名存活超过3年的患者中有11名神经功能基本正常。在最终获得组织学诊断的7名患者中,4名被证实患有胶质母细胞瘤,3名患有低级别星形细胞瘤。尸检显示,所有胶质母细胞瘤性肿瘤均超出治疗野;这表明应照射更大的体积,可能是全脑。应使用高剂量(至少5000拉德),因为接受此类剂量的患者3年生存率为45%。

相似文献

1
Radiation of infratentorial and supratentorial brain-stem tumors.幕下和幕上脑干肿瘤的放射治疗。
J Neurosurg. 1975 Jul;43(1):65-8. doi: 10.3171/jns.1975.43.1.0065.
2
Radiotherapy of intracranial astrocytomas: analysis of 417 cases treated from 1960 through 1969.颅内星形细胞瘤的放射治疗:对1960年至1969年期间治疗的417例病例的分析。
Neurosurgery. 1979 Sep;5(3):301-8.
3
[Results of conventional radiotherapy in malignant gliomas:].[恶性胶质瘤的传统放射治疗结果:]
Gan No Rinsho. 1989 Sep;35(11):1240-6.
4
Effects of treatment on long-term survivors with malignant astrocytomas.治疗对恶性星形细胞瘤长期存活者的影响。
Ann Neurol. 1990 Dec;28(6):818-22. doi: 10.1002/ana.410280614.
5
[Radiotherapy of brain tumors especially using pendulum irradiation with ultra-hard x-rays].[脑肿瘤的放射治疗,特别是使用超硬X射线的摆动照射法]
Strahlentherapie. 1972 Feb;143(2):126-36.
6
Radiation therapy of brain-stem tumors.脑干肿瘤的放射治疗
Radiology. 1969 Aug;93(2):413-6 passim. doi: 10.1148/93.2.413.
7
[Results of local radiotherapy and modified total-brain irradiation in astrocytoma].[星形细胞瘤局部放疗与改良全脑照射的结果]
Strahlenther Onkol. 1989 Aug;165(8):571-7.
8
Radiation therapy in the management of low-grade supratentorial astrocytomas.低级别幕上星形细胞瘤治疗中的放射治疗
J Neurosurg. 1989 Jun;70(6):853-61. doi: 10.3171/jns.1989.70.6.0853.
9
Brachytherapy of malignant gliomas.
Nebr Med J. 1988 Jun;73(6):166-8.
10
[Indication and results of radiation therapy in the treatment of astrocytomas (author's transl)].
Strahlentherapie. 1980 Jun;156(6):382-7.

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2
Diffuse intrinsic pontine glioma: poised for progress.弥漫性内生脑桥胶质瘤:蓄势待发。
Front Oncol. 2012 Dec 28;2:205. doi: 10.3389/fonc.2012.00205. eCollection 2012.
3
Hypofractionated radiotherapy in the treatment of diffuse intrinsic pontine glioma in children: a single institution's experience.
儿童弥漫性内生桥脑胶质瘤的分段放疗治疗:单机构经验。
J Neurooncol. 2011 Sep;104(3):773-7. doi: 10.1007/s11060-011-0542-4. Epub 2011 Feb 17.
4
Clinical management of brain stem glioma.脑干胶质瘤的临床管理
Arch Dis Child. 1999 Jun;80(6):558-64. doi: 10.1136/adc.80.6.558.
5
Multiple fraction-per-day radiotherapy for patients with brain stem tumors.
J Neurooncol. 1993 Aug;17(2):131-8. doi: 10.1007/BF01050215.
6
Intra-arterial chemotherapy for brain stem glioma: report of four cases.脑干胶质瘤的动脉内化疗:4例报告
Neuroradiology. 1994;36(1):74-9. doi: 10.1007/BF00599203.
7
Brain stem gliomas in childhood. Rational approach and treatment.儿童脑干胶质瘤。合理的治疗方法
J Neurooncol. 1984;2(2):117-22. doi: 10.1007/BF00177896.
8
Long-term results of surgically treated brainstem gliomas.手术治疗脑干胶质瘤的长期结果。
Acta Neurochir (Wien). 1985;76(1-2):12-7. doi: 10.1007/BF01403823.
9
Treatment of small cerebral gliomas with CT-aided stereotaxic curietherapy.
Neuroradiology. 1978;16:564-7. doi: 10.1007/BF00395362.