Sambhaji C, Shetty C, Joseph V, Vadhiraj B M, Vidhyasagar M S
Department of Radiodiagnosis and Imaging, Kasturba Medical College, Karnataka, India.
Acta Gastroenterol Belg. 2013 Jun;76(2):257-9.
We present a case of Klatskin's tumour managed by high dose Intra Luminal Brachytherapy without the need for post radiation stenting. We achieved significant reduction in the cost of treatment and avoided complications associated with stenting. We were able to attain a symptom and disease free survival period of 30 months till the patient finally succumbed to metastatic peritoneal disease. We assume that small Klatskin's tumours as in the presented case with a size less than 3 cms when subjected to high dose Intra Luminal Brachytherapy with the help of 3D computed planning ensuring good tumour coverage may not require post radiation assisted biliary drainage.
我们报告一例肝门部胆管癌患者，采用高剂量腔内近距离放射治疗，无需放疗后置入支架。我们显著降低了治疗成本，并避免了与支架置入相关的并发症。我们使患者在30个月内无症状且无疾病生存，直至患者最终死于转移性腹膜疾病。我们认为，如本病例中大小小于3厘米的小型肝门部胆管癌，在借助三维计算机规划确保良好肿瘤覆盖的情况下进行高剂量腔内近距离放射治疗，可能无需放疗后辅助胆管引流。
