THREE DIMENTIONAL COMPUTERIZED PLANNING AND PERIODICAL IRRADIATION WITH THE CORRESPONDING OF PATIENT'S RESPIRATION PHASE FOR SOLITARY LUNG METASTASIS: A CASE REPORT.
Abstract
A case report of metastatic lung from carcinoma of the rectum was treated with 3D-CT planning and periodical irradiation with the corresponding of patient respiration phase. This technique permits the precise delivery of high dose of radiation to the target while sparing the most of normal lung tissue. The radiation dose was 20 Gy single dose, encompassed the target at the 90 per cent isodose line. The tumor was totally disappeared 1 month after the completion of treatment. The patient could tolerate to the treatment procedure well without any complications inherent to the technique. This technique is an effective and safe treatment for localized lung metastasis. However, long term follow-up should be done to evaluate the late radiation effect of the single fration radiation therapy.
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Shirouzu K, Isomoto H, Hayashi A, et al. Surgical treatment for patients with pulmo- nary metastases after resection of primary colorectal carcinoma. Cancer 1995;76:393- 398.
Van Halteren HK, van Geel AN, Hart AA, Zoetmulder FA. Pulmonary resection for metastases of colorectal origin. Chest 1995;- 107: 1526-1531.
Yano T, Hara N, Ichinose Y, et al. Results of pulmonary resection of metastatic colo- rectal cancer and its application. J Thorac Cardiovasc Surg 1993;106:875-879.
McCormack PM, Burt ME, Bains MS,et al. Lung resection for colorectal metastases, 10-year results. Arch Surg 1992;127:1403- 1406.
Zapatero J, Flandes J, Lago J, et al. Pro- gnostic factors in pulmonary metastases from colorectal cancer. Respiration 1994;61 :280-282.
Ha CS, Kijewski PK, Langer MP. Gain in target dose from using computer controlled radiation therapy (CCRT) in the treatment of non small cell lung cancer. Int J Radiat Oncol Biol Phys 1993;26:335-359.
Leibel SA. The biologic basis for conformal three-dimensional radiation therapy. Int J Radiat Oncol Biol Phys 1991;21:805-811.
Lichter AS. Three-dimensional conformal radiation therapy: A testable hypothesis. Int J Radiat Oncol Biol Phys 1991;21:853-855.
Fuks Z, Leibel SA, Wallner KE, et al. The effect of local control on metastatic dissemi- nation in carcinoma of the prostate: Long term results in patients treated with 125 I implantation. Int J Radiat Oncol Biol Phys 1991;21:537-547.
Leibel SA, Scott CB, Mohiuddin M, et al. The effect of local-regional control on distant metastatic dissemination in carci- noma of head and neck Results of an analysis from the RTOG head and neck database. Int J Radiat Oncol Biol Phys 1991;21:805-811.
Menke M, Hirschfeld F, Mack T, et al. Photo grammetric accuracy measurements of Head Holder Systems used for fractio- nation radiotherapy. Int J Radiat Oncol Biol Phys 1994;29:1147-1155.
Drzymala RE, Klein EE. Assurance of high quality Linac-based stereotactic radio- surgery. Int J Radiat Oncol Biol Phys 1994;- 30:459-472.
Ten Haken RK, Forman JD, Heimburger DK, et al. Treatment planning issues related to prostate movement in response to diffe- rential filling of the rectum and bladder. Int J Radiat Oncol Biol Phys 1991;20:1317- 1324.
Balter JM, Sandler HM, Lam K. Measu- rement of prostate movement over the course of routine radiotherapy using implanted markers. Int J Radiat Oncol Biol Phys 1995;31:113-118.
McAfee MK, Allen MS, Trastek VF, et al. Colorectal lung metastases: Results of surgical excision. Ann Thorac Surg 1992; 53:780-785.
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