Glanzmann C, Rust M, Horst W
Strahlentherapie. 1977 Aug;153(8):522-5.
62 cases with vertebral hemangiomas and clinical symptoms from 1939-1975, treated by radiotherapy are reported. In about 60%, radiotherapy resulted in permanent significant improvement or freedom of angioma related symptoms. In 7 cases with symptoms of severe compression of the myelon, decompressive laminectomy was performed, followed by radiotherapy. The radiation dose in the vertebrae were: 3000-5000 rd, 100-200 rd single dose, 5 times per week. Hemangiomas of the vertebrae are an accepted indication for irradiation. We recommend doses about 4000 rd, 150-200 rd single dose, 5 times per week. In cases with severe cord compression decompressive surgery is to be performed first.
报告了1939年至1975年间62例患有椎体血管瘤并伴有临床症状且接受放射治疗的病例。约60%的病例中,放射治疗使与血管瘤相关的症状得到永久性显著改善或消除。7例出现严重脊髓受压症状的患者,先进行了减压性椎板切除术,随后进行放射治疗。椎体的放射剂量为:3000 - 5000拉德,单次剂量100 - 200拉德,每周5次。椎体血管瘤是公认的放射治疗适应症。我们推荐剂量约为4000拉德,单次剂量150 - 200拉德,每周5次。对于严重脊髓受压的病例,应首先进行减压手术。