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
Title Alternative
A case of Merkel cell carcinoma in which radiation monotherapy was successful
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 Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Tokunaga, Takuya Department of Minimum invasive and Telesurgery, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
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 Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Sumitomo, Masayuki Department of Surgery, Tokushima Prefectural Miyoshi Hospital
Keywords
Merkel cell carcinoma
radiation therapy
local control
cancer pain
opioid
Content Type
Journal Article
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.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
73
Issue
1-2
Start Page
91
End Page
98
Sort Key
91
Published Date
2017-04-25
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital
Medical Sciences