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使用电容式加热设备GHT-RF8(Greenytherm)进行热疗的合作临床研究。

Cooperative clinical studies of hyperthermia using a capacitive type heating device GHT-RF8(Greenytherm).

作者信息

Loh J J, Seong J S, Suh C O, Kim G E, Chu S S, Pak K R, Lee C G, Kim B S, Kim S G, Seel D J

出版信息

Yonsei Med J. 1989;30(1):72-80. doi: 10.3349/ymj.1989.30.1.72.

DOI:10.3349/ymj.1989.30.1.72
PMID:2741475
Abstract

Yonsei Cancer Center developed an RF(Radiofrequency) capacitive type heating device, GHT-RF8(Greenytherm) in cooperation with Green Cross Medical Corp., Korea in 1986 for the first time in Korea. Cooperative clinical studies of hyperthermia for the treatment of cancer using GHT-RF8 were conducted by Yonsei Cancer Center in collaboration with the Presbyterian Medical Center, Chonju, Korea. A total of forty patients with various histologically proven malignant tumors, including superficial (N = 13) and deep-seated tumors (N = 27), were treated with this newly developed heating device in conjunction with radiotherapy (N = 38) or chemotherapy (N = 2) at two different institutes between October 1986 and September 1987. These patients were locally far advanced or recurrent cases and considered to be refractory to conventional cancer treatment modalities. Radiotherapy was given in 200cGy per day, five times a week fractionations with a total tumor dose of 50-60Gy in 5-6 weeks. Within an hour after radiotherapy, the RF capacitive type of hyperthermia was given two times a week for a total of 4-10 treatment sessions and an attempt was made to maintain the tumor temperature at 41-45 degrees C for 30-60 minutes. Of forty patients treated, 14 patients with deep-seated tumors showed complete response and 20 patients showed partial response. The overall response rate was 85% (34 out of 40 patients) and only 6 patients showed no response. Complications from this treatment were mainly burns, superficial first degree burn in 2 cases, second degree in 4 cases and subcutaneous fat necrosis was observed in 2 cases.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

延世癌症中心于1986年首次与韩国绿十字医疗公司合作,在韩国研发出一种射频电容式加热设备GHT-RF8(Greenytherm)。延世癌症中心与韩国全州长老会医疗中心合作,开展了使用GHT-RF8进行癌症热疗的联合临床研究。1986年10月至1987年9月期间,在两家不同机构,共有40例经组织学证实的各种恶性肿瘤患者接受了这种新研发的加热设备治疗,其中包括浅表肿瘤(n = 13)和深部肿瘤(n = 27),这些患者同时接受了放射治疗(n = 38)或化疗(n = 2)。这些患者均为局部晚期或复发病例,被认为对传统癌症治疗方式难治。放射治疗每天给予200cGy,每周分5次进行,5 - 6周内肿瘤总剂量达50 - 60Gy。放疗后1小时内,每周进行2次射频电容式热疗,共进行4 - 10次治疗,试图将肿瘤温度维持在41 - 45摄氏度30 - 60分钟。在接受治疗的40例患者中,14例深部肿瘤患者显示完全缓解,20例患者显示部分缓解。总缓解率为85%(40例患者中的34例),只有6例患者无反应。该治疗的并发症主要为烧伤,2例为浅表一度烧伤,4例为二度烧伤,2例观察到皮下脂肪坏死。(摘要截选至250字)

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