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结膜鳞状细胞癌辅助治疗中近距离放疗与冷冻治疗联合应用:文献综述与病例报告

Combining Brachytherapy and Cryotherapy as Adjuvant Therapy for Squamous Cell Carcinoma of the Conjunctiva: Literature Review and Case Reports.

作者信息

Fagerberg Peter S, Ramberg Ingvild M S, Toft Peter B

机构信息

Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.

Department of Pathology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.

出版信息

Ocul Oncol Pathol. 2021 Mar;7(2):77-84. doi: 10.1159/000512029. Epub 2021 Jan 11.

DOI:10.1159/000512029
PMID:33981690
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8077545/
Abstract

BACKGROUND

Separately, cryotherapy and brachytherapy have shown promising results when adjuvating the excision of squamous cell carcinoma of the conjunctiva (SCCC). The aim of this paper is to assess the combined effect in terms of complications and recurrence rate.

SUMMARY

We describe 2 patients suffering from SCCC, and we review the current literature on adjuvant cryotherapy and brachytherapy. Both patients, one of whom suffered from recurrent SCCC, underwent surgical excision followed by combined cryotherapy and brachytherapy. Cryotherapy was performed using a retinal cryoprobe, and 2 rounds each of 5 s with NO as a cryogen were applied. Brachytherapy was performed using a ruthenium-106 plaque, delivering a dosage of 100 Gy at 2-mm depth.

KEY MESSAGES

By reviewing the current literature and describing 2 case reports, this paper illustrates the use of combined cryotherapy and brachytherapy after surgical excision of SCCC. The current literature presents promising results of each treatment, and the 2 cases showed promising results by combining the 2 adjuvant therapies showing no signs of recurrence or complications during a follow-up period of 26 and 38 months.

摘要

背景

单独使用冷冻疗法和近距离放射疗法在辅助结膜鳞状细胞癌(SCCC)切除时已显示出有前景的结果。本文的目的是评估在并发症和复发率方面的联合效果。

总结

我们描述了2例患有SCCC的患者,并回顾了当前关于辅助冷冻疗法和近距离放射疗法的文献。两名患者,其中一名患有复发性SCCC,均接受了手术切除,随后进行了冷冻疗法和近距离放射疗法联合治疗。使用视网膜冷冻探头进行冷冻疗法,以一氧化二氮作为制冷剂,每次5秒,共进行2轮。使用钌-106敷贴器进行近距离放射疗法,在2毫米深度处给予100戈瑞的剂量。

关键信息

通过回顾当前文献并描述2例病例报告,本文阐述了SCCC手术切除后联合使用冷冻疗法和近距离放射疗法的情况。当前文献显示每种治疗方法都有前景的结果,这2例病例通过联合两种辅助疗法也显示出有前景的结果,在26个月和38个月的随访期内未出现复发或并发症迹象。

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本文引用的文献

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Management Issues in Conjunctival Tumours: Ocular Surface Squamous Neoplasia.结膜肿瘤的管理问题:眼表鳞状上皮化生
Ophthalmol Ther. 2020 Mar;9(1):181-190. doi: 10.1007/s40123-019-00225-w. Epub 2019 Nov 23.
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Superficial ocular malignancies treated with strontium-90 brachytherapy: long term outcomes.用锶-90近距离放射疗法治疗的眼部浅表恶性肿瘤:长期疗效
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Squamous cell dysplasia and carcinoma of the conjunctiva. A nationwide, retrospective, epidemiological study of Danish patients.结膜鳞状细胞发育异常和癌。丹麦患者的一项全国性回顾性流行病学研究。
Acta Ophthalmol. 2015 Nov;93(7):663-6. doi: 10.1111/aos.12743. Epub 2015 Apr 22.
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The treatment of carcinoma in situ and squamous cell carcinoma of the conjunctiva with fractionated strontium-90 radiation in a population with a high prevalence of HIV.在艾滋病毒高流行人群中,采用分次90锶放疗治疗结膜原位癌和鳞状细胞癌。
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Conjunctival squamous cell neoplasia: the Liverpool Ocular Oncology Centre experience.结膜鳞状细胞肿瘤:利物浦眼肿瘤中心的经验
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