俯卧位外照射治疗早期阴茎癌

杨波, 秦丽娟, 赵于天, 杨伟强, 张福正

杨波, 秦丽娟, 赵于天, 杨伟强, 张福正. 俯卧位外照射治疗早期阴茎癌[J]. 实用临床医药杂志, 2011, (19): 59-62. DOI: 10.3969/j.issn.1672-2353.2011.19.018
引用本文: 杨波, 秦丽娟, 赵于天, 杨伟强, 张福正. 俯卧位外照射治疗早期阴茎癌[J]. 实用临床医药杂志, 2011, (19): 59-62. DOI: 10.3969/j.issn.1672-2353.2011.19.018
YANG Bo, QIN Li-juan, ZHAO Yu-tian, YANG Wei-qiang, ZHANG Fu-zheng. External beam treatment of men with early stage carcinoma of the penis in prone position[J]. Journal of Clinical Medicine in Practice, 2011, (19): 59-62. DOI: 10.3969/j.issn.1672-2353.2011.19.018
Citation: YANG Bo, QIN Li-juan, ZHAO Yu-tian, YANG Wei-qiang, ZHANG Fu-zheng. External beam treatment of men with early stage carcinoma of the penis in prone position[J]. Journal of Clinical Medicine in Practice, 2011, (19): 59-62. DOI: 10.3969/j.issn.1672-2353.2011.19.018

俯卧位外照射治疗早期阴茎癌

基金项目: 国家发明专利
详细信息
  • 中图分类号: R735.1

External beam treatment of men with early stage carcinoma of the penis in prone position

  • 摘要: 目的 介绍一种俯卧位外照射治疗早期阴茎癌的放疗装置及使用方法,评价早期阴茎癌术后放射治疗的价值.方法 统计被诊断为早期阴茎痛的患者26例,Jackson's分期均为I期,AJCC的TNM分期,T1No M0 23例,T1N1M0 3例,放疗前行肿块契形切除术15例,局部切除术11例.采用患者俯卧位、阴茎悬拉并置于町活动水盒的外照射技术,使用60Co或6 MV的X线照射,阴茎和(或)双侧腹股沟淋巴结区域DT(50 ~66)Gy/(5 ~6.5)周.结果 26例患者获得随访23例,随访期8月~7年,1例患者生存3年后失访,1例患者生存4年后失访,1例患者生存4.5年后死于肿瘤肺转移,1例患者生存5.5年后死于脑转移,1例患者生存6年后死于脑血管意外,其余患者随访至今.大多数患者均能顺利完成放疗计划,放射性皮炎、阴茎红肿必然发生,末出现排尿困难、尿道瘘、表皮破溃、下肢水肿、尿道狭窄等严重放疗反应,局部控制率100%.阴茎外形正常,5年生存率达到85.71%.结论 俯卧位使用水盒外照射治疗早期阴茎癌,有效解决常规仰卧位放疗中的难题,对于组织厚度薄、外形不规则等部位表浅肿瘤的放射治疗,可以获得均匀和正确的组织吸收剂量,提高患者的生存质量和生存率.
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出版历程
  • 发布日期:  2012-03-18

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