Abscopal effect of radiation in metastatic esophageal carcinoma: fourth reported case.

Rituparna Biswas, Rajesh Jindel, Anirban Halder, Koushik Sen, Apurba Kabasi
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引用次数: 1

Abstract

Abscopal or bystander effect of radiotherapy is a rare and unpredictable outcome encountered during treatment of metastatic cancer where tumor regression is observed distant from irradiated volume. While it has been more frequently reported with malignancies like melanoma, lymphoma, and renal cell carcinoma, data regarding metastatic esophageal cancers are sparse. We describe a case of abscopal regression of distant mediastinal and upper abdominal lymph nodes in a 65-year-old gentleman whose primary esophageal tumor was irradiated with hypo-fractionated radiotherapy in an attempt to achieve local palliation. Our case study emphasizes the systemic benefit of local radiotherapy and the need for future research to investigate its utility as this clinical event poses widespread response in an otherwise dismal Stage-IV cancer with minimal treatment-related side effects.

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放疗在转移性食管癌中的作用:第4例报告。
放射治疗的游离效应或旁观者效应是转移性癌症治疗中遇到的一种罕见且不可预测的结果,在转移性癌症治疗中,肿瘤的消退是在远离辐照体积的地方观察到的。虽然它在恶性肿瘤如黑色素瘤、淋巴瘤和肾细胞癌中更为常见,但关于转移性食管癌的数据很少。我们描述了一个病例的远纵隔和上腹部淋巴结的离壁后退在一个65岁的先生,他的原发食管肿瘤进行了次分割放疗,试图达到局部姑息。我们的病例研究强调了局部放疗的全身益处,以及未来研究其效用的必要性,因为这种临床事件在其他情况下令人沮丧的iv期癌症中具有广泛的反应,并且治疗相关的副作用最小。
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自引率
14.30%
发文量
57
期刊介绍: This online-only journal publishes original case reports on all types of cancer. In particular, we welcome not only case reports of educational value in the diagnosis and treatment of cancers, but also reports on molecularly analyzed cancer cases, including gene mutations, gene fusions, gene expression, and changes in copy number, regardless of their known clinical significance. Assessing the molecular analysis of a tumor usually requires a “cancer conference” in which experts from various fields discuss it. Even if the authors and their respective “cancer conference” were unable to determine the clinical significance of molecular changes at the time of submission and publication, their data may provide evidence that will help the scientific community develop precision medicine solutions in the future. We welcome case reports with reviews of the literature on similar cases, as they are more useful and valuable to readers than are reports of rare cases. International Cancer Conference Journal is the official publication of the Japan Society of Clinical Oncology (JSCO). - Presents an online-only collection of original case reports on all types of cancer - In particular, welcomes molecularly analyzed cancer cases - The Official Publication of the Japan Society of Clinical Oncology (JSCO)
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