- Intraoperative Radiation Therapy of locally Advanced Gastric Cancers: Case report.
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Kyeung Ae Kim, Seong Kyu Kim, Sei One Shin, Myung Se Kim, Hong Jin Kim, Koing Bo Kwun, Hung Dae Kim
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Yeungnam Univ J Med. 1988;5(1):153-158. Published online June 30, 1988
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DOI: https://doi.org/10.12701/yujm.1988.5.1.153
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Abstract
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- Stomach cancer is the most popular tumor in Korea but the prognosis following extensive surgery and chemotherapy has not improved for many years. Conventional external radiotherapy also has some limitation, namely, a cancerocidal dose cannot be delivered to tumors because of low radiation tolerance of adjacent critical sensitive organs. In order to overcome these limitations of curative surgery and external radiotherapy, intraoperative radiotherapy was proposed in many centers and the results were excellent. We treated two cases of locally advanced gastric cancers with IORT by using NEC 18 MeV Linear Accelerator after standard subtotal resection of the stomach. After treatment, the patients are in good conditions so far, but in order to evaluate the effectiveness of IORT, a study will be performed on the survival rates between patients treated by IORT and those treated by surgery alone.
- One Case of Esophageal Cancer Treated with High Dose Rate ICR.
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Kyeung Ae Kim, Sung Kyu Kim, Sei One Shin, Myung Se Kim
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Yeungnam Univ J Med. 1988;5(1):147-151. Published online June 30, 1988
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DOI: https://doi.org/10.12701/yujm.1988.5.1.147
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Abstract
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- Esophageal cancers are highly malignant neoplasms. Prognosis of esophageal cancer treated by external irradiation alone is rather poor because of local recurrence and distant metastasis. Recently intracavitary irradiation has been used as a boost therapy after external irradiation to obtain better local control. One case of esophageal cancer has been treated by high dose rate remote-controlled after loading unit as boost therapy after external irradiation. The result was excellent in short term follow up esophagogram but esophageal bleeding and esophagotracheal fistula were noted in further follow up examination after inappropriate posttreatment management including insufficient chemotherapy due to poor general condition. We reviewed possible causes of esophageal bleeding and esophagotracheal fistula after external irradiation and high dose rate ICR.
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