Novel management of expected post-radiotherapy complications in hepatocellular carcinoma patients: a case report.

Sung Hoon Chang, Tae Suk Kim, Yong Hwan Jeon, Nuri Hyun Jung, Dae Hee Choi
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Abstract

In recent years, radiotherapy (RT) has been used to treat hepatocellular carcinoma (HCC) at each stage. This clinical trend has developed with the increasing improvement of RT techniques, which show clinical results comparable to those of other treatment modalities. Intensity-modulated radiotherapy uses a high radiation dose to improve treatment effectiveness. However, the associated radiation toxicity can damage adjacent organs. Radiation-induced gastric damage with gastric ulcers is a complication of RT. This report presents a novel management strategy for preventing post-RT gastric ulcers. We present the case of a 53-year-old male patient diagnosed with HCC, who experienced gastric ulcer after RT. Before the second round of RT, the patient was administered a gas-foaming agent, which was effective in preventing RT complications.

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肝癌放疗后并发症的新处理:1例报告。
近年来,放疗(RT)已被用于治疗肝细胞癌(HCC)的各个阶段。这一临床趋势是随着放疗技术的日益完善而发展起来的,其临床效果与其他治疗方式相当。调强放疗采用高辐射剂量来提高治疗效果。然而,相关的辐射毒性会损害邻近器官。辐射引起的胃损伤并胃溃疡是放疗的并发症。本文提出了一种新的治疗策略来预防放疗后胃溃疡。我们报告一例53岁男性HCC患者,术后出现胃溃疡。在第二轮放疗前,患者给予气体发泡剂,有效预防放疗并发症。
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