| ID | 110423 |
| タイトルヨミ | 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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| タイトル別表記 | A case of Merkel cell carcinoma in which radiation monotherapy was successful
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| 著者 |
安藤, 勤
徳島県立三好病院緩和ケア内科
山下, 恭
徳島県立中央病院放射線科
広瀬, 憲志
徳島大学病院皮膚科
松本, 陽子
徳島県立三好病院薬剤科
浅野, 博美
徳島県立三好病院看護局
川原, 葉子
徳島県立三好病院看護局
岡崎, 和世
徳島県立三好病院看護局
寺嶋, 吉保
徳島県立三好病院緩和ケア内科
住友, 正幸
徳島県立三好病院外科
|
| キーワード | Merkel cell carcinoma
radiation therapy
local control
cancer pain
opioid
|
| 資料タイプ |
学術雑誌論文
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| 抄録 | 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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| 掲載誌名 |
四国医学雑誌
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| ISSN | 00373699
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| cat書誌ID | AN00102041
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| 出版者 | 徳島医学会
|
| 巻 | 73
|
| 号 | 1-2
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| 開始ページ | 91
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| 終了ページ | 98
|
| 並び順 | 91
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| 発行日 | 2017-04-25
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| フルテキストファイル | |
| 言語 |
jpn
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| 著者版フラグ |
出版社版
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| 部局 |
病院
医学系
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