Atzinger A, Lindner H
Rontgenblatter. 1980 Apr;33(4):193-8.
The article reports on the well-known self-healing tendency and radiosensitivity of blastomatous haemangiomas. The change in treatment methods is shown. According to our experience collected during 1950--1964 and 1964--1968 there is a trend towards lower dosage. During the 1969--1976 period, 554 blastomatous haemangiomas were exposed to low-dosage radiation. Sr90 treatment (1000--2000 rd) yielded very good results, soft radiation being somewhat more unfavourable at our dosage level (usually 600 rd) than our previous higher dosage, which means a slight correction towards increasing the dosage should be effected. The overall result is better if treatment is initiated during the first half year of life. Radiation therapy is the method of choice in blastomatous haemangiomas. It should be employed frequently despite the high self-healing quota, since 1. there are practically no unfavourable side effects if the dosage is kept at a low level; 2. retrogression is accelerated; 3. the cosmetic result, which is not always quite satisfactory in self-healing, can usually be improved upon by radiation; and, finally, 4. the risk of ulceration and haemorrhage is reduced.
本文报道了胚性血管瘤众所周知的自愈倾向和放射敏感性。文中展示了治疗方法的变化。根据我们在1950年至1964年以及1964年至1968年期间积累的经验,有降低剂量的趋势。在1969年至1976年期间,554例胚性血管瘤接受了低剂量放射治疗。锶90治疗(1000至2000拉德)取得了很好的效果,在我们的剂量水平(通常为600拉德)下,软放射比我们之前较高的剂量稍差一些,这意味着应稍微增加剂量进行调整。如果在生命的前半年开始治疗,总体效果会更好。放射治疗是胚性血管瘤的首选治疗方法。尽管自愈率很高,但仍应经常使用放射治疗,因为:1. 如果将剂量保持在低水平,实际上几乎没有不良副作用;2. 消退会加速;3. 自愈时美容效果并不总是很令人满意,通常通过放射治疗可以改善;最后,4. 溃疡和出血的风险会降低。