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转移性乳腺癌所致脊髓压迫症:单纯放射治疗

Spinal cord compression from metastatic breast carcinoma: treatment by radiation therapy alone.

作者信息

Solisio E O, Akbiyik N, Alexander L L

出版信息

J Natl Med Assoc. 1979 Mar;71(3):229-30.

PMID:220430
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2537341/
Abstract

There are few reports in the medical literature of treatment of compression of the spinal cord by the use of radiation therapy alone. Laminectomy has been the standard procedure to relieve compression of the spinal cord and should be performed within 48 hours of initial symptoms. In this patient, radiation therapy was the only modality used. It was supplemented by diethylstilbestrol in the course of follow-up. The result of radiotherapy so far has been excellent. The authors emphasize that radiotherapy was begun three months after development of paraplegia, which makes this an interesting case for presentation.

摘要

医学文献中关于单纯使用放射疗法治疗脊髓压迫症的报道很少。椎板切除术一直是缓解脊髓压迫的标准手术,应在出现初始症状后的48小时内进行。在该患者中,放射疗法是唯一使用的治疗方式。在随访过程中使用己烯雌酚作为补充治疗。到目前为止,放射治疗的效果非常好。作者强调,放射治疗是在截瘫发生三个月后开始的,这使得该病例成为一个值得展示的有趣病例。

相似文献

1
Spinal cord compression from metastatic breast carcinoma: treatment by radiation therapy alone.转移性乳腺癌所致脊髓压迫症:单纯放射治疗
J Natl Med Assoc. 1979 Mar;71(3):229-30.
2
Spinal cord compression secondary to metastatic mammary carcinoma.转移性乳腺癌继发脊髓压迫症
J Am Med Womens Assoc. 1965 Oct;20(10):953-5.
3
[Metastatic epidural spinal compression: prognostic factors and results of radiotherapy].[转移性硬膜外脊髓压迫症:预后因素及放射治疗结果]
Strahlenther Onkol. 2001 Dec;177(12):676-9. doi: 10.1007/pl00002383.
4
[Contribution of methods of osteosynthesis to vertebro-medullary surgery].
Neurochirurgie. 1974 Jan-Feb;20(1):61-80.
5
Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 17-1972.
N Engl J Med. 1972 Apr 27;286(17):934-40. doi: 10.1056/NEJM197204272861708.
6
Hypophysectomy for severe spinal cord complications from breast carcinoma.垂体切除术治疗乳腺癌严重脊髓并发症
Paraplegia. 1974 Aug;12(2):111-7. doi: 10.1038/sc.1974.18.
7
[Radiotherapy in vertebral hemangioma].[椎体血管瘤的放射治疗]
Rontgenpraxis. 2001;53(5):208-20.
8
[Apropos of a series of 134 cases of intraspinal metastases with neurologic complications in adults].[关于134例成人脊髓内转移瘤伴神经并发症的系列病例]
Sem Hop. 1973 Dec 26;49(53):3611-22.
9
[Thoracic spinal cord compression by radiation-induced exostosis: a case report and review of the literature].[放射诱导骨疣导致胸段脊髓压迫:一例报告并文献复习]
Rev Chir Orthop Reparatrice Appar Mot. 2002 Sep;88(5):514-7.
10
Case report: spinal cord compression due to metastatic hepatocellular carcinoma.
Am J Med Sci. 1993 Oct;306(4):233-5. doi: 10.1097/00000441-199310000-00005.

本文引用的文献

1
Extradural spinal cord compression by tumor. II. High daily dose experience without laminectomy.肿瘤所致硬膜外脊髓压迫症。II. 未行椎板切除术的高剂量每日放疗经验
Radiology. 1969 Dec;93(6):1248-60. doi: 10.1148/93.6.1248.
2
Indications for nonoperative treatment of spinal cord compression due to breast cancer.乳腺癌所致脊髓压迫症的非手术治疗指征。
J Neurosurg. 1977 Nov;47(5):653-8. doi: 10.3171/jns.1977.47.5.0653.