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一名67岁尿道腺癌女性患者通过外照射放疗和图像引导自适应组织间近距离放疗成功治愈。

Successful treatment of a 67-year-old woman with urethral adenocarcinoma with the use of external beam radiotherapy and image guided adaptive interstitial brachytherapy.

作者信息

Mujkanovic Jasmin, Tanderup Kari, Agerbæk Mads, Bisgaard Ulla, Høyer Søren, Lindegaard Jacob Christian, Fokdal Lars

机构信息

Department of Oncology.

Department of Urology.

出版信息

J Contemp Brachytherapy. 2016 Oct;8(5):434-437. doi: 10.5114/jcb.2016.63461. Epub 2016 Nov 7.

DOI:10.5114/jcb.2016.63461
PMID:27895686
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5116457/
Abstract

Primary urethral cancer (PUC) is a very rare disease. This case report illustrates a successful treatment approach of a 67-year-old woman with a urethral adenocarcinoma selected for an organ preserving treatment with external beam radiotherapy (EBRT) and interstitial brachytherapy (BT) boost, using the GEC-ESTRO target concept originally designed for locally advanced cervical cancer (LACC). Treatment included EBRT with 45 Gy in 25 fractions followed by image guided adaptive interstitial BT (IGABT) with a pulsed-dose-rate (PDR) BT boost with 30 Gy in 50 hourly pulses. The D for CTV was 79.1 Gy in EQD2. At 24 months follow-up, the patient was recurrence free and without treatment related side effects.

摘要

原发性尿道癌(PUC)是一种非常罕见的疾病。本病例报告展示了一种成功的治疗方法,该方法用于一名67岁患有尿道腺癌的女性,采用了最初为局部晚期宫颈癌(LACC)设计的GEC-ESTRO靶区概念,选择了外照射放疗(EBRT)和组织间插植近距离放疗(BT)增敏的器官保留治疗。治疗包括25次分割给予45 Gy的EBRT,随后进行图像引导的自适应组织间插植近距离放疗(IGABT),采用脉冲剂量率(PDR)近距离放疗增敏,50个小时脉冲给予30 Gy。CTV的等效均匀剂量(EQD2)为79.1 Gy。随访24个月时,患者无复发且无治疗相关副作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcad/5116457/a9a7b7f54859/JCB-8-28658-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcad/5116457/99120c4a75ef/JCB-8-28658-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcad/5116457/a9a7b7f54859/JCB-8-28658-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcad/5116457/99120c4a75ef/JCB-8-28658-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcad/5116457/a9a7b7f54859/JCB-8-28658-g002.jpg

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J Contemp Brachytherapy. 2016 Feb;8(1):41-7. doi: 10.5114/jcb.2016.57461. Epub 2016 Jan 27.
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Outcomes for patients with cervical cancer treated with extended-field intensity-modulated radiation therapy and concurrent cisplatin.接受扩展野调强放疗并同期顺铂化疗的宫颈癌患者的治疗结果。
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Incidence and survival of rare urogenital cancers in Europe.
欧洲罕见泌尿生殖系统癌症的发病率和生存率。
Eur J Cancer. 2012 Mar;48(4):456-64. doi: 10.1016/j.ejca.2011.10.031. Epub 2011 Nov 24.
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Radiother Oncol. 2011 Sep;100(3):473-9. doi: 10.1016/j.radonc.2011.08.016. Epub 2011 Sep 15.
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Carcinoma of the urethra: radiation oncology.尿道癌:放射肿瘤学。
Urol Clin North Am. 2010 Aug;37(3):459-66. doi: 10.1016/j.ucl.2010.04.007. Epub 2010 Jun 17.
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Pelvic exenteration: ten-year experience at the European Institute of Oncology in Milan.盆腔脏器切除术:米兰欧洲肿瘤研究所的十年经验
Gynecol Oncol. 2009 Jul;114(1):64-8. doi: 10.1016/j.ygyno.2009.03.029. Epub 2009 May 2.
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Incidence of primary urethral carcinoma in the United States.美国原发性尿道癌的发病率。
Urology. 2006 Dec;68(6):1164-8. doi: 10.1016/j.urology.2006.08.1057. Epub 2006 Dec 4.
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Recommendations from gynaecological (GYN) GEC ESTRO working group (II): concepts and terms in 3D image-based treatment planning in cervix cancer brachytherapy-3D dose volume parameters and aspects of 3D image-based anatomy, radiation physics, radiobiology.妇科(GYN)GEC ESTRO工作组(II)的建议:宫颈癌近距离治疗基于三维图像的治疗计划中的概念和术语——三维剂量体积参数以及基于三维图像的解剖学、放射物理学、放射生物学方面
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