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[巨大的胃癌维尔肖转移灶经热化疗放疗后可切除]

[Huge Virchow's metastasis in gastric cancer made resectable by hyperthermochemoradiotherapy].

作者信息

Fujimura T, Yonemura Y, Sekino H, Sugiyama K, Nishimura G, Yamaguchi A, Miyazaki I, Nakajima K, Hisazumi H, Saitoh Y

出版信息

Gan No Rinsho. 1986 Nov;32(14):1879-86.

PMID:3099033
Abstract

A 75-year-old woman who had undergone gastrectomy for gastric cancer at the age of 61 developed a huge left supraclavicular tumor (15 X 10 X 10 cm) suspected of being Virchow's node. She was treated with hyperthermochemoradiotherapy (HCT-therapy). After 10 sessions of radiofrequency hyperthermia by a Thermotron RF8, irradiation with 52.8 Gy of 60Co and injection of 8 mg of MMC, the tumor mass decreased by 77% on CT. The histologically resected specimen revealed coagulation necrosis in almost all areas. This case, which was considered HCR-therapy-effective, was estimated as Grade 3 according to The General Rules for the Gastric Cancer Study (The 11th edition.)

摘要

一名75岁女性,61岁时因胃癌接受了胃切除术,现左锁骨上出现一个巨大肿瘤(15×10×10 cm),怀疑是魏尔啸淋巴结。她接受了热化疗放疗(HCT疗法)。使用Thermotron RF8进行10次射频热疗、52.8 Gy的60Co照射以及注射8 mg丝裂霉素后,CT显示肿瘤体积缩小了77%。组织学切除标本显示几乎所有区域均有凝固性坏死。该病例被认为热化疗放疗有效,根据《胃癌研究总则》(第11版)评估为3级。

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