Masaki N, Matayoshi Y, Tarui Y, Inoue T, Nishiyama K, Ikeda H
Dept. of Radiology, Osaka Univ. Med. School.
Gan No Rinsho. 1987 Aug;33(10):1161-6.
Two-hundreds and seventy-six patients who were treated with external irradiation alone or combined with intracavitary irradiation and were alive 2-18 years were examined concerning to late complications in the lower abdominal wall. Moderate or severe subcutaneous fibrosis occurred in 14% of the patients. They were not observed below subcutaneous dose of 44 Gy. However, they were noted in 22% with dose of 45-54 Gy and in 100% with dose over 55 Gy. The dose of 50% probability of fibrosis was expected around 53 Gy and 80% of complications were appeared within 3 years after irradiation.
对276例接受单纯外照射或外照射联合腔内照射治疗且存活2至18年的患者进行了下腹壁晚期并发症检查。14%的患者出现中度或重度皮下纤维化。皮下剂量低于44 Gy时未观察到这种情况。然而,在皮下剂量为45至54 Gy的患者中,22%出现了皮下纤维化,而皮下剂量超过55 Gy的患者中,100%出现了皮下纤维化。预计纤维化发生概率为50%时的剂量约为53 Gy,80%的并发症在照射后3年内出现。