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[霍奇金病的放射治疗结果(大阪大学医院病例分析)]

[Results of the radiotherapy of Hodgkin's disease (Analysis of cases at Osaka University Hospital)].

作者信息

Ikeda H, Masaki N, Aozasa K

机构信息

Dept. of Radiology, Osaka Univ. Hospital.

出版信息

Gan No Rinsho. 1988 Apr;34(5):693-7.

PMID:3385935
Abstract

A total of 32 patients of Hodgkin's disease treated mainly by radiotherapy at the Department of Radiology, Osaka University Hospital from 1971 through 1985 were analyzed. Five- and ten-year survival rates for all patients were 91%, 78%; Clinical Stage I (15 patients): 93%, 83%; Stage II (8 pts.): 100%, 100%; Stage III (9 pts.): 78%, 52%, respectively, and 5- and 10-year relapse-free rates for all patients: 72%, 62%; St. I 87%, 76%; St. II: 63%, 63%; St. III: 56%, 42%, respectively. Patients with tumor originated in the upper neck consisted of 7 patients (47%) in Stage I and no relapse was observed outside the irradiated field. However, 2 recurrences (1 within RT field, and another Stage III at margin of the field) were observed around the upper neck in patients treated with only the mantle field encompassing the upper neck area. Treatment portal should be considered to cover Waldeyer's ring and skull base with lateral portals.

摘要

对1971年至1985年期间在大阪大学医院放射科主要接受放射治疗的32例霍奇金病患者进行了分析。所有患者的5年和10年生存率分别为91%、78%;临床I期(15例患者):93%、83%;II期(8例患者):100%、100%;III期(9例患者):分别为78%、52%,所有患者的5年和10年无复发生存率分别为72%、62%;I期87%、76%;II期:63%、63%;III期:56%、42%。起源于上颈部的肿瘤患者中,I期有7例(47%),照射野以外未观察到复发。然而,仅采用包括上颈部区域的斗篷野治疗的患者中,在上颈部周围观察到2例复发(1例在放疗野内,另1例在野边缘为III期)。治疗野应考虑用侧野覆盖瓦尔代尔环和颅底。

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