Re-irradiation of advanced tumors of the head and neck with fast neutrons

R.D. Errington B.Sc. D.C.H. D.M.R.T. F.R.C.R., Mary Catterall F.R.C.R. D.Sc.(HON.) F.A.C.R.(HON.)
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引用次数: 24

Abstract

Twenty-eight patients who had received radical treatment with X rays to tumors of the head and neck presented with advanced recurrent tumors, 23 of them had also undergone surgery and 10 had more than one operation. Seven had also received chemotherapy. They were treated with neutrons to a tumor dose of 1560 cGy in 12 fractions over 26 days using the techniques of the Hammersmith Unit. Twenty-three of the tumors (82%) underwent complete regression that was maintained in 15 for at least 12 months. Despite the damage done by the previous radiation and surgery to the normal tissues, 15 patients had no complications following neutron therapy. In six patients, there was major necrosis, in seven others, this was minor. Eight tumors recurred. Five patients responded with partial regression of their tumors. The median survival was 20 months (range 4–69 months).

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头颈部晚期肿瘤的快中子再照射
对头颈部肿瘤进行X光根治治疗的28例患者出现晚期复发肿瘤,其中23例同时进行了手术,10例进行了一次以上手术。其中7人还接受了化疗。使用哈默史密斯单元的技术,在26天内用12个分数的1560 cGy的肿瘤剂量中子治疗它们。23例肿瘤(82%)完全消退,15例肿瘤至少维持12个月。尽管先前的放疗和手术对正常组织造成了损害,但15例患者在中子治疗后没有出现并发症。6例患者有严重坏死,7例患者有轻微坏死。8例肿瘤复发。5名患者的肿瘤部分消退。中位生存期为20个月(范围4-69个月)。
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来源期刊
CiteScore
11.00
自引率
7.10%
发文量
2538
审稿时长
6.6 weeks
期刊介绍: International Journal of Radiation Oncology • Biology • Physics (IJROBP), known in the field as the Red Journal, publishes original laboratory and clinical investigations related to radiation oncology, radiation biology, medical physics, and both education and health policy as it relates to the field. This journal has a particular interest in original contributions of the following types: prospective clinical trials, outcomes research, and large database interrogation. In addition, it seeks reports of high-impact innovations in single or combined modality treatment, tumor sensitization, normal tissue protection (including both precision avoidance and pharmacologic means), brachytherapy, particle irradiation, and cancer imaging. Technical advances related to dosimetry and conformal radiation treatment planning are of interest, as are basic science studies investigating tumor physiology and the molecular biology underlying cancer and normal tissue radiation response.
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