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胃癌:快中子治疗效果的放射学与病理学相关性

Adenocarcinoma of the stomach: radiological and pathological correlation of effects of treatment with fast neutrons.

作者信息

Kingsley D, Gad A, Catterall M

出版信息

Gut. 1976 Aug;17(8):624-32. doi: 10.1136/gut.17.8.624.

DOI:10.1136/gut.17.8.624
PMID:976801
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1411329/
Abstract

During the past six years 40 patients have been treated with fast neutrons for inoperable adenocarcinoma of the stomach. A number of these patients have been studied in detail both radiologically and pathologically with regard to the effects of fast neutrons on both the tumour and normal stomach. After treatment there was a constant reduction in size of the stomach capacity when compared with a control group and the motility of the stomach was lost. Mucosal changes, which were noted radiologically, appeared to be dose related. Histologically most of the tumour was destroyed. Small clumps of cells were, however, found in all except one of the patients but only in areas of the stomach which had not received the standard dose. Marked fibrosis occurred and it is our impression that the amount of fibrosis is in excess of that seen with other forms of radiotherapy.

摘要

在过去六年中,40例无法手术的胃腺癌患者接受了快中子治疗。其中一些患者就快中子对肿瘤和正常胃部的影响进行了详细的放射学和病理学研究。与对照组相比,治疗后胃容量持续减小,且胃动力丧失。放射学观察到的黏膜变化似乎与剂量相关。组织学检查显示大部分肿瘤被破坏。然而,除1例患者外,所有患者均发现有小细胞团块,但仅存在于未接受标准剂量照射的胃部区域。出现了明显的纤维化,我们的印象是纤维化程度超过了其他形式放疗所见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/defb/1411329/e237e10e793a/gut00489-0067-b.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/defb/1411329/d3a1a062efda/gut00489-0067-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/defb/1411329/e237e10e793a/gut00489-0067-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/defb/1411329/f405b95ad359/gut00489-0064-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/defb/1411329/c7eb04b6e47b/gut00489-0064-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/defb/1411329/728db0f3c193/gut00489-0064-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/defb/1411329/09bc049afbc1/gut00489-0061-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/defb/1411329/be9f4f172c2a/gut00489-0062-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/defb/1411329/21efbcdc9127/gut00489-0065-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/defb/1411329/30ad44c1a57b/gut00489-0065-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/defb/1411329/b3cebab0dfaa/gut00489-0065-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/defb/1411329/64adcd4be3ca/gut00489-0066-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/defb/1411329/2cc4df58e761/gut00489-0066-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/defb/1411329/d3a1a062efda/gut00489-0067-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/defb/1411329/e237e10e793a/gut00489-0067-b.jpg

相似文献

1
Adenocarcinoma of the stomach: radiological and pathological correlation of effects of treatment with fast neutrons.胃癌:快中子治疗效果的放射学与病理学相关性
Gut. 1976 Aug;17(8):624-32. doi: 10.1136/gut.17.8.624.
2
The effects of fast neutrons on inoperable carcinoma of the stomach.快中子对无法手术的胃癌的影响。
Gut. 1975 Feb;16(2):150-6. doi: 10.1136/gut.16.2.150.
3
Clinical experience with fast neutrons.快中子的临床经验。
Proc R Soc Med. 1972 Oct;65(10):839-43. doi: 10.1177/003591577206501011.
4
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Gastrointest Endosc. 2000 Feb;51(2):194. doi: 10.1016/s0016-5107(00)70163-5.
5
Evaluation of tumor growth rate in patients with early gastric carcinoma of the elevated type.隆起型早期胃癌患者肿瘤生长速率的评估
Gastrointest Radiol. 1991 Fall;16(4):289-92. doi: 10.1007/BF01887370.
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[Paraneoplastic polyarthritis revealing gastric cancer].
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[Radiation pathomorphosis in intensive preoperative hypoxic radiotherapy of stomach cancer].[胃癌术前强化低氧放疗的放射病理形态学]
Med Radiol (Mosk). 1991;36(9):28-31.
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[Morphologic characteristics of erosive stomach cancer].[糜烂性胃癌的形态学特征]
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Combined neutron brachytherapy with external beam radiation in patients with inoperable gastroesophageal junction adenocarcinoma.不可切除的胃食管交界腺癌患者中中子近距离放疗联合外照射放疗
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引用本文的文献

1
Clinical correlates of resectability and survival in gastric carcinoma.胃癌可切除性与生存率的临床关联
Ann Surg. 1978 Dec;188(6):711-5. doi: 10.1097/00000658-197812000-00001.

本文引用的文献

1
CARCINOMA OF THE STOMACH: REVIEW OF 1,035 CASES.胃癌:1035例病例回顾
Ann Surg. 1964 Jun;159(6):919-32. doi: 10.1097/00000658-196406000-00009.
2
Trends in prognosis and surgical treatment of cancer of the stomach.胃癌的预后及外科治疗趋势
Ann Surg. 1966 May;163(5):736-45. doi: 10.1097/00000658-196605000-00010.
3
The results of surgical treatment of cancer of the stomach.胃癌的外科治疗结果。
Surg Gynecol Obstet. 1966 Jul;123(1):73-9.
4
Acute radiation damage to the digestive tract. A comparison of effects of fast neutrons and x-rays.消化道的急性辐射损伤。快中子与X射线效应的比较。
Acta Pathol Jpn. 1967 Aug;17(3):324-7.
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Cancer of the stomach and oesophagus. Data concerning management and results.
Br J Surg. 1971 Oct;58(10):798-800. doi: 10.1002/bjs.1800581024.
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Carcinoma of the stomach. A follow-up study of 1963 patients.胃癌。对1963例患者的随访研究。
Acta Chir Scand. 1972;138(2):195-201.
7
Results of treatment of stomach cancer. An appraisal of efforts for more extensive surgery and a rort of 1,983 cases.
Cancer. 1969 Jun;23(6):1305-8. doi: 10.1002/1097-0142(196906)23:6<1305::aid-cncr2820230610>3.0.co;2-0.
8
The effects of fast neutrons on inoperable carcinoma of the stomach.快中子对无法手术的胃癌的影响。
Gut. 1975 Feb;16(2):150-6. doi: 10.1136/gut.16.2.150.