| ID | 110423 |
| Title Transcription | ホウシャセン タンドク リョウホウ ガ ソウコウ シタ Merkel サイボウガン ノ 1レイ
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| Title Alternative | A case of Merkel cell carcinoma in which radiation monotherapy was successful
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| Author |
Andou, Tsutomu
Department of Palliative care medicine, Tokushima Prefectural Miyoshi Hospital
Yamashita, Kyo
Department of Radiology, Tokushima Prefectural Central Hospital
Kawakami, Yukikiyo
Department of Minimum invasive and Telesurgery, Tokushima University Hospital
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Tokunaga, Takuya
Department of Minimum invasive and Telesurgery, Tokushima University Hospital
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Hirose, Kenji
Department of Dermatology, Tokushima University Hospital
Matsumoto, Youko
Division of Pharmacy, Tokushima Prefectural Miyoshi Hospital
Asano, Hiromi
Division of Nursing, Tokushima Prefectural Miyoshi Hospital
Kawahara, Youko
Division of Nursing, Tokushima Prefectural Miyoshi Hospital
Okazaki, Kazuyo
Division of Nursing, Tokushima Prefectural Miyoshi Hospital
Terashima, Yoshiyasu
Department of Palliative care medicine, Tokushima Prefectural Miyoshi Hospital
Sakashita, Naomi
Department of Molecular Pathology, Graduate School of Biomedical Sciences, Tokushima University
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Sumitomo, Masayuki
Department of Surgery, Tokushima Prefectural Miyoshi Hospital
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| Keywords | Merkel cell carcinoma
radiation therapy
local control
cancer pain
opioid
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| Content Type |
Journal Article
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| Description | A ９１-year-old man was diagnosed with Merkel cell carcinoma after removal of a mass about １ cm in diameter from the right upper eyelid on August ５, ２０１X. Curative surgery was recommended, but the patient declined. Lymph node metastases to the right lateral angle of the eye and in front of the right ear, and cancer pain in the stump recurrence manifested. Accordingly, irradiation of the right upper eyelid was started from October ３ at ２．５Gy/fraction, and the right lateral corneal lymph nodes were included from October １１, ending at ３５ Gy in １４ fractions. From November ２２，irradiation of the lymph node metastasisin front of the right ear was started, ending at ３２. ５ Gy in １３ fractions. During irradiation, cancer pain was alleviated with opioids. Stump recurrence and lymph node metastases were decreased in size, and Computed Tomography indiated complete response. Radiation monotherapy of Merkel cell carcinoma appears to offer a treatment that should be proactively applied when curative surgery proves difficult or not desired by the patient. Use of opioids during radiotherapy may improve quality of life and enhance the therapeutic effect.
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| Journal Title |
四国医学雑誌
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| ISSN | 00373699
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| NCID | AN00102041
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| Publisher | 徳島医学会
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| Volume | 73
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| Issue | 1-2
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| Start Page | 91
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| End Page | 98
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| Sort Key | 91
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| Published Date | 2017-04-25
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| FullText File | |
| language |
jpn
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| TextVersion |
Publisher
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| departments |
University Hospital
Medical Sciences
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