PANCOAST TUMOR - VALUE OF HIGH-DOSE RADIATION-THERAPY

被引:23
作者
MORRIS, RW [1 ]
ABADIR, R [1 ]
机构
[1] UNIV MISSOURI,MED CTR,DEPT NUCL MED,COLUMBIA,MO 65212
关键词
D O I
10.1148/132.3.717
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Twenty-six patients with superior pulmonary sulcus (Pancoast) tumors were evaluated. Twelve patients were treated with high dose radiotherapy with NSD over 1,900 rets and 10 with NSD less than 1,900 rets. Four patients were treated with combined radiation and surgery. High dose radiotherapy resulted in relief of pain in all patients but apparently did not change survival. Low dose radiotherapy offered relief of pain to only half of the patients. Distant metastasis was noted in 30% of patients (15% to brain, 3.8% to liver), rib destruction in 65% and supraclavicular nodes in 19%. Only 4 patients went to surgery and 2 died during operation. It is thus concluded that Pancoast tumor is essentially an inoperable disease.
引用
收藏
页码:717 / 719
页数:3
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