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扁桃体区域鳞状细胞癌的间质放射治疗:克雷泰伊的经验(1971 - 1981年)

Interstitial radiation therapy for squamous cell carcinoma of the tonsillar region: the Creteil experience (1971-1981).

作者信息

Mazeron J J, Lusinchi A, Marinello G, Huart J, Martin M, Calitchi E, Raynal M, le Bourgeois J P, Baillet F, Pierquin B

出版信息

Int J Radiat Oncol Biol Phys. 1986 Jun;12(6):895-900. doi: 10.1016/0360-3016(86)90382-2.

DOI:10.1016/0360-3016(86)90382-2
PMID:3721933
Abstract

From July 1971 to December 1981, 33 selected patients with T1, T2 tumors of the tonsillar region were treated according to the following protocol: 1. Telecobalt therapy to the primary site and to neck nodes to a dose of 45 Gy. 2. Brachytherapy to the primary site to a dose of 30 Gy using iridium 192. 3. Boost dose to involved neck nodes with electrons, or radical neck dissection, whether N1, N2, or N3. The actuarial disease-free survival was 76% when all patient groups were included and 80% for the N0 patients. The local control rate was 100%. Disease control in the neck was 94% overall and 100% for the N0 group. These results favor the use of this protocol for superficial, minimally infiltrating tumors less than 4 cm in diameter, without obvious extension to the base of the tongue or retromolar trigone.

摘要

1971年7月至1981年12月,按照以下方案对33例经挑选的扁桃体区T1、T2期肿瘤患者进行了治疗:1. 对原发部位和颈部淋巴结进行钴远距离治疗,剂量为45 Gy。2. 使用铱192对原发部位进行近距离治疗,剂量为30 Gy。3. 对受累颈部淋巴结采用电子线加量照射,或进行根治性颈清扫术,无论N1、N2还是N3期。纳入所有患者组时,精算无病生存率为76%,N0期患者为80%。局部控制率为100%。颈部疾病控制总体为94%,N0组为100%。这些结果支持将该方案用于直径小于4 cm、无明显向舌根或磨牙后三角区扩展的浅表、浸润性极小的肿瘤。

相似文献

1
Interstitial radiation therapy for squamous cell carcinoma of the tonsillar region: the Creteil experience (1971-1981).扁桃体区域鳞状细胞癌的间质放射治疗:克雷泰伊的经验(1971 - 1981年)
Int J Radiat Oncol Biol Phys. 1986 Jun;12(6):895-900. doi: 10.1016/0360-3016(86)90382-2.
2
[Role of iridium-192 endocurietherapy in the treatment of T1 and T2 tumors of the tonsillar region].[铱-192近距离放射治疗在扁桃体区T1和T2期肿瘤治疗中的作用]
Ann Otolaryngol Chir Cervicofac. 1984;101(4):293-7.
3
[Place of iridium 192 implantation in irradiation of T1-T2 squamous cell carcinoma of the velopharyngeal arch].[铱192植入在腭咽弓T1-T2鳞状细胞癌放疗中的植入部位]
Bull Cancer Radiother. 1996;83(1):47-53.
4
Concomitant boost radiotherapy for squamous carcinoma of the tonsillar fossa.扁桃体窝鳞状细胞癌的同步加量放疗
Int J Radiat Oncol Biol Phys. 1997 Aug 1;39(1):127-35. doi: 10.1016/s0360-3016(97)00291-5.
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[Update on exclusive radiotherapy of T1 and T2 of the faucial arch].[扁桃体弓T1和T2期单纯放疗的最新进展]
Ann Otolaryngol Chir Cervicofac. 1987;104(3):197-203.
6
Place of Iridium 192 implantation in definitive irradiation of faucial arch squamous cell carcinomas.
Int J Radiat Oncol Biol Phys. 1993 Sep 30;27(2):251-7. doi: 10.1016/0360-3016(93)90235-n.
7
Velotonsillar squamous cell carcinoma: 277 cases treated by combined external irradiation and brachytherapy--results according to extension, localization, and dose rate.腭扁桃体鳞状细胞癌:277例接受外照射与近距离放疗联合治疗——根据肿瘤扩展、部位及剂量率得出的结果
Int J Radiat Oncol Biol Phys. 1992;23(4):715-23. doi: 10.1016/0360-3016(92)90643-v.
8
[Value of the combination of external radiotherapy and curietherapy in carcinoma of the velo-tonsillar region. Statistical study of a series of 361 patients].[外照射放疗与镭疗联合治疗腭扁桃体区癌的价值。对361例患者的系列统计研究]
Bull Cancer Radiother. 1996;83(1):40-6.
9
[Radiotherapy of tonsillar neoplasms. Evaluation of treatment results and late complications].[扁桃体肿瘤的放射治疗。治疗结果及晚期并发症评估]
Nowotwory. 1989 Jan-Mar;39(1):44-52.
10
Iridium 192 implantation of squamous cell carcinomas of the oropharynx.铱192植入治疗口咽鳞状细胞癌
Am J Otolaryngol. 1989 Sep-Oct;10(5):317-21. doi: 10.1016/0196-0709(89)90106-3.

引用本文的文献

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Is there any place for LDR brachytherapy for head and neck carcinomas in HDR era?在高剂量率(HDR)时代,近距离后装放疗(LDR)对头颈部癌还有用吗?
J Contemp Brachytherapy. 2009 Mar;1(1):62-66. Epub 2009 Mar 23.