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Successful treatment of unresectable advanced rectal cancer with liver metastases by hemostasis re-irradiation of the rectal cancer and palliative low-dose whole-liver radiation therapy: a case report.
https://asahi-u.repo.nii.ac.jp/records/12170
https://asahi-u.repo.nii.ac.jp/records/1217032778429-5643-46e7-87a7-02f2f2724213
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
18657257_16_2019 (1.3 MB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2020-07-18 | |||||
| タイトル | ||||||
| タイトル | Successful treatment of unresectable advanced rectal cancer with liver metastases by hemostasis re-irradiation of the rectal cancer and palliative low-dose whole-liver radiation therapy: a case report. | |||||
| タイトル | ||||||
| タイトル | Successful treatment of unresectable advanced rectal cancer with liver metastases by hemostasis re-irradiation of the rectal cancer and palliative low-dose whole-liver radiation therapy: a case report. | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | Hemostasis re-irradiation | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | Low-dose whole-liver irradiation | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | Palliative radiotherapy | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | journal article | |||||
| 著者 |
Yasuda, Takeshi
× Yasuda, Takeshi× Tanaka, Osamu× Hayashi, Sadanari× Nakahata, Yuki× Yasuda, Yuriko× Omatsu, Tatsushi× Obora, Akihiro× Kojima, Takao× Matsuo, Masayuki× Yagi, Nobuaki |
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| 所属 | ||||||
| Department of Gastroenterology, Asahi University Hospital | ||||||
| 所属 | ||||||
| Department of Radiation Oncology, Asahi University Hospital | ||||||
| 所属 | ||||||
| Department of Gastroenterology, Asahi University Hospital | ||||||
| 所属 | ||||||
| Department of Gastroenterology, Asahi University Hospital | ||||||
| 所属 | ||||||
| Department of Gastroenterology, Asahi University Hospital | ||||||
| 所属 | ||||||
| Department of Gastroenterology, Asahi University Hospital | ||||||
| 所属 | ||||||
| Department of Gastroenterology, Asahi University Hospital | ||||||
| 所属 | ||||||
| Department of Gastroenterology, Asahi University Hospital | ||||||
| 所属 | ||||||
| Department of Radiology, Gifu University Hospital | ||||||
| 所属 | ||||||
| Department of Gastroenterology, Asahi University Hospital | ||||||
| 書誌情報 |
en : Clinical journal of gastroenterology 発行日 2019-07-18 |
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| 出版者 | ||||||
| Springer | ||||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | A 72-year-old man was admitted to the hospital with fatigue. Colonoscopy revealed a 50 × 50 mm rectal tumor with bleeding. Based on close inspection, he was diagnosed with unresectable advanced rectal cancer with multiple liver metastases. Chemotherapy was administered as 10 cycles of bevacizumab + mFOLFOX6 and 7 cycles of bevacizumab + FOLFIRI. Nine months later, he presented with hematochezia and progression of anemia. It was difficult to stop the bleeding via endoscopy. He underwent radiation therapy (39 Gy in 13 fractions), and hemostasis was confirmed. Then, further chemotherapy was performed with 3 cycles of bevacizumab + FOLFIRI and 2 cycles of TAS102. However 14 months after the initial visit, he presented with right hypochondralgia and abdominal fullness due to the progression of multiple liver metastases. Palliative low-dose whole-liver radiation therapy (WLRT) (30 Gy in 10 fractions) was performed. He developed Grade 2 nausea, but his right hypochondralgia reduced, liver dysfunction improved, and he successfully completed radiotherapy. At approximately the same time his anemia progressed, and colonoscopy revealed recurrent bleeding from the tumor. Re-irradiation (15 Gy in 5 fractions) of the rectal tumor was carried out and a blood transfusion was performed for the bleeding. He was discharged after confirmation the anemia had not progressed. Few reports have been published on the use of both palliative re-irradiation to stop bleeding from rectal cancer and palliative low-dose WLRT. Based on our experience with this case, we believe that palliative radiotherapy can be useful in treating patients with a poor prognosis. | |||||
| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 1865-7265 | |||||
| PubMed番号 | ||||||
| 関連タイプ | isVersionOf | |||||
| 識別子タイプ | PMID | |||||
| 関連識別子 | 31321737 | |||||
| DOI | ||||||
| 関連タイプ | isVersionOf | |||||
| 識別子タイプ | DOI | |||||
| 関連識別子 | 10.1007/s12328-019-01023-4 | |||||
| フォーマット | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | application/pdf | |||||
| 著者版フラグ | ||||||
| 出版タイプ | AM | |||||
| 出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
| 見出し | ||||||
| 小見出し | Embago 12month (First Online: 18 July 2019) | |||||
| 言語 | ja | |||||
| 備考 | ||||||
| Embago 12month (First Online: 18 July 2019) | ||||||
