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[母细胞瘤性血管瘤的放射治疗——特别考虑44例眼睑血管瘤(作者译)]

[Radiotherapy of blastomatous hemangiomas - under special consideration of 44 eyelid hemangiomas (author's transl)].

作者信息

Bamberg M, Scherer E

出版信息

Strahlentherapie. 1978 Apr;154(4):233-9.

PMID:644596
Abstract

The propriety of blastomatous hemangiomas to show spontaneous regression is underlined. Under certain indications, above all in case of eyelid hemangiomas, a radiotherapy is indicated. The moment of manifestation lies within the first three months of life, and the female sex is affected two times more frequently. The head represents the predilection spot within the distribution scheme of hemangiomas. 44 patients with eyelid hemangiomas who had been treated between 1968 and 1972 by the described irradiation method had check-up appointments five years later. The therapeutical results were evaluated according to certain criteria. 95,5% of the blastomatous hemangiomas showed a very good or satisfactory regression. Only 4,5% did not present any satisfactory success. In an advanced age of the patients, the hemangiomas do not always respond favourably to radiotherapy. In case of a strictly executed indication and a faultless irradiation technique, irradiation damages can be avoided. Our results show that, with regard to the spontaneous regression of blastomatous hemangiomas, total doses of 1000 to 1500 rd are sufficient. Finally the authors cite the standpoints of radiotherapy concerning the treatment of blastomatous hemangiomas and give recommendations for dosage principles.

摘要

成胚性血管瘤呈现自发消退的特性得到了强调。在某些指征下,尤其是眼睑血管瘤的情况下,需要进行放射治疗。发病时间在出生后的头三个月内,女性受影响的频率是男性的两倍。头部是血管瘤分布模式中的好发部位。1968年至1972年间,采用上述照射方法治疗的44例眼睑血管瘤患者在五年后进行了复查。根据某些标准对治疗结果进行了评估。95.5%的成胚性血管瘤显示出非常好或令人满意的消退。只有4.5%没有取得任何令人满意的效果。在患者年龄较大时,血管瘤对放射治疗并不总是有良好反应。在严格执行指征和采用无误的照射技术的情况下,可以避免照射损伤。我们的结果表明,就成胚性血管瘤的自发消退而言,1000至1500拉德的总剂量就足够了。最后,作者引用了放射治疗关于成胚性血管瘤治疗的观点,并给出了剂量原则的建议。

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