上咽頭癌の経蝶形骨洞RALS治療
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概要
- 論文の詳細を見る
In the therapy of nasopharyngeal carcinoma, intracavitary radiation from the nasopharynx by a remote afterloading system (RALS) has been used in combination with ex-ternal beam therapy in several hospitals, but this method is not available for intracranial remnant tumors, because the dose is insufficient.For such cases, we tried RALS therapy from the sphenoid sinus and obtained good results. Two T4 patients were treated with this method; both had intracranial remnant tumors after 66Gy of external beam radiation. After opening the sphenoid sinus surgically, an application tube was inserted into the sinus from the naris. RALS therapy was done twice or 4 times. In one patient, the remnant tumor vanished, and in the other, the tumor was significantly reduced in size.This method is effective for intracranial remnant tumors, which do not respond to RALS therapy from the nasopharynx.
- 耳鼻咽喉科臨床学会の論文
著者
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小野 公二
京都大学医学部放射線医学教室
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野々村 光栄
京都大学医学部耳鼻咽喉科学教室
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福島 英行
京都大学医学部耳鼻咽喉科学教室
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藤野 清大
大津赤十字病院耳鼻咽喉科
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安里 亮
天理よろづ相談所
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筒井 一成
和歌山赤十字病院放射線科
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小野 公二
京都大学医学部放射線科学教室
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