Ostalo
3D-conformal radiotherapy with one target volume in a patient with two primary tumors – a case report
Zrinka Trstenjak
; Department of Radiation Oncology, University Hospital for Tumors, Zagreb, Croatia
Mladen Solarić
; Department of Radiation Oncology, University Hospital for Tumors, Zagreb, Croatia
Davorin Bagović
; Department of Radiation Oncology, University Hospital for Tumors, Zagreb, Croatia
Mirko Šamija
; Department of Radiation Oncology, University Hospital for Tumors, Zagreb, Croatia
Sažetak
A male patient, aged 54, was admitted to the University Hospital for Tumors for primary radiotherapy of neoplasms in the hypopharynx and mid-esophagus, by biopsy both shown as planocellular carcinoma. Prior to initial radiation, the patient underwent 3 cycles of chemotherapy (cisplatin + 5-FU).
The main problem occurring during the radiation planning was that the target volumes of the above mentioned primary tumors were detached, making together a unique, very big volume. In addition, part of that volume was to be irradiated only electively in order to prevent microscopic disease expansion, and another smaller part required an application of the full radical tumor dose. During radiotherapy, the continuation of chemotherapy was indicated (2 cycles of cisplatin and 5-FU). Despite the large target volumes irradiated and concomitant application of chemotherapy, the patient took the entire course of primary radiochemotherapy well and without a necessary recess. The patient was discharged with his general condition improved, and at the control visit three months after the completion of radiotherapy, the diagnostic evaluation showed no signs of residual disease.
Ključne riječi
two primary tumors; 3D-conformal radiotherapy; clinical target volume
Hrčak ID:
280763
URI
Datum izdavanja:
22.11.2007.
Posjeta: 725 *