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蕈样肉芽肿的放射治疗:二十年来远距离X线和低电压X线治疗的经验

Radiotherapy of mycosis fungoides: twenty years of experience with teleroentgen and low-voltage X-ray therapy.

作者信息

Wiskemann A, Buck C

出版信息

J Dermatol Surg Oncol. 1978 Aug;4(8):606-10. doi: 10.1111/j.1524-4725.1978.tb00509.x.

Abstract

Of 98 patients with mycosis fungoides, 55 have been treated with teleroentgen therapy and 43 with low voltage radiation at a shorter distance. Teleroentgen therapy is indicated in the stage of generalized eczematous lesions or superficial infiltration. According to the Hamburg method, a dose of 300 R was delivered to eight fields at a target distance of 120 cm. After a series of one to three treatments, 300 R, administered at three-week intervals, all lesions usually cleared. Small patches and deeply infiltrated lesions and tumors were treated with the same doses and intervals of low voltage X rays, the half-value depth corresponding to the depth of infiltration. After five years, 54% of all patients were still alive and after 10 years, 29% were still living.

摘要

在98例蕈样肉芽肿患者中,55例接受了远距离X线治疗,43例接受了近距离低电压辐射治疗。远距离X线治疗适用于泛发性湿疹样皮损或浅表浸润期。按照汉堡方法,在120cm的靶距离下,对8个照射野给予300伦琴的剂量。经过一系列1至3次治疗,每次300伦琴,间隔3周给药,所有皮损通常会消退。小片皮损、深部浸润性皮损和肿瘤用相同剂量和间隔的低电压X线治疗,半价层深度对应浸润深度。5年后,所有患者中有54%仍然存活,10年后,仍有29%存活。

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