Wiegel T, Sommer K, Knop J, Reuter M, Baumann M, Krüll A, Hübener K H
Abteilung für Strahlentherapie, Universitätsklinik Hamburg-Eppendorf.
Strahlenther Onkol. 1991 Jul;167(7):403-6.
Between 1957 and 1990 15 patients with solitary (stage Ia by Greenberger) and 2 patients with multiple (stage Ib) eosinophilic granuloma of the bone were treated by radiotherapy in 18 locations after previous surgery. The doses applied varied from 6 Gy to 42 Gy (median for patients under 18 years: 8 Gy, for patients over 18 years: 30 Gy). Median follow-up was 9 years (range, 0.3-33 years). Local control rate and survival were 100%. Three patients with granuloma developed a second granuloma within 13 years after primary diagnosis (two bone manifestations, one cutaneous manifestation). Long-term follow-up of patients with solitary eosinophilic granuloma is necessary.
1957年至1990年间,15例孤立性骨嗜酸性肉芽肿患者(格林伯格分期为Ia期)和2例多发性骨嗜酸性肉芽肿患者(Ib期)在先前手术后于18个部位接受了放射治疗。应用的剂量从6 Gy到42 Gy不等(18岁以下患者的中位数:8 Gy,18岁以上患者:30 Gy)。中位随访时间为9年(范围0.3 - 33年)。局部控制率和生存率均为100%。3例肉芽肿患者在初次诊断后13年内出现了第二个肉芽肿(2例为骨表现,1例为皮肤表现)。对孤立性嗜酸性肉芽肿患者进行长期随访是必要的。