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Resurrection of whole liver radiotherapy : a case report
المؤلفون المشاركون
Khullar, Pooja
Choudhary, Sabeena
Mitra, Swarupa
Sharma, Manoj Kumar
Saxena, Upasna
المصدر
Journal of the Egyptian National Cancer Institute
العدد
المجلد 29، العدد 2 (30 يونيو/حزيران 2017)، ص ص. 105-108، 4ص.
الناشر
جامعة القاهرة المعهد القومي للأورام
تاريخ النشر
2017-06-30
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Introduction: This is a case report of a patient of lymphoma with liver metastasis who had persistent pain and jaundice despite multiple lines of chemotherapy.
She underwent palliative liver irradiation.
This is an uncommon modality due to fear of radiation induced hepatitis.
We reviewed literature available on the use of liver irradiation for palliation and concluded that it can be safely used with good results.
A 33-yearold female with Non-Hodgkin’s Lymphoma (NHL) presented with obstructive jaundice.
She underwent stenting followed by chemotherapy.
She was lost to follow up to later present with a progressively increasing right hypochondrial mass, pain and icterus.
Ultrasound abdomen revealed massive hepatomegaly with hypodense lesions in both liver lobes and centring the porta with dilatation of biliary radicals.
Despite multiple lines of chemotherapy and use of opioids, there was no symptomatic relief in pain, size of mass or any decrease in biochemical parameters.
Then she was offered palliative radiation in the form of partial liver irradiation to a dose of 21 Gy/7 fractions.
She had >50% pain relief after 2 fractions and was off opioids by last fraction.
Liver span reduced from 6 cm to 1 cm below costal margin in mid clavicular line.
Radiologically 60% reduction in size of liver lesions was observed.
Also, a decreasing trend in biochemical parameters was observed.
Use of whole or partial liver irradiation is rare in clinical practice due to fear of radiation induced hepatitis by conventional techniques.
Newer techniques of delivering radiation can highly improvise accuracy and permit further dose escalation
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Choudhary, Sabeena& Mitra, Swarupa& Sharma, Manoj Kumar& Khullar, Pooja& Saxena, Upasna. 2017. Resurrection of whole liver radiotherapy : a case report. Journal of the Egyptian National Cancer Institute،Vol. 29, no. 2, pp.105-108.
https://search.emarefa.net/detail/BIM-783249
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Choudhary, Sabeena…[et al.]. Resurrection of whole liver radiotherapy : a case report. Journal of the Egyptian National Cancer Institute Vol. 29, no. 2 (Jun. 2017), pp.105-108.
https://search.emarefa.net/detail/BIM-783249
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Choudhary, Sabeena& Mitra, Swarupa& Sharma, Manoj Kumar& Khullar, Pooja& Saxena, Upasna. Resurrection of whole liver radiotherapy : a case report. Journal of the Egyptian National Cancer Institute. 2017. Vol. 29, no. 2, pp.105-108.
https://search.emarefa.net/detail/BIM-783249
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 108
رقم السجل
BIM-783249
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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