High-dose-rate interstitial brachytherapy for mobile tongue cancer: preliminary results of a dose reduction trial

نویسندگان

  • Hironori Akiyama
  • Ken Yoshida
  • Hideya Yamazaki
  • Tadashi Takenaka
  • Tadayuki Kotsuma
  • Koji Masui
  • Yasuo Yoshioka
  • Takumi Arika
  • Kimishige Shimizutani
  • Eiichi Tanaka
چکیده

PURPOSE To compare the outcome of our facility with another about the shortened schedule (60 Gy in 10 fractions to 54 Gy in 9 fractions) of high-dose-rate interstitial brachytherapy (HDR ISBT) for mobile tongue cancer. MATERIAL AND METHODS Eighteen patients were treated with HDR ISBT as a monotherapy in dose reduction schedule with some unique technique to determine the border of tumor accuracy (lugol's staining and metal marker), and to minimize adverse effect (lead-lined silicon block) at our facility. RESULTS The 2-year local and regional control rates and cause-specific survival rate were 82%, 80%, and 83% and moderate to severe late complications occurred in five patients (28%), which were almost the same treatment results achieved by another facility. CONCLUSIONS We recommend 54 Gy in 9 fractions over 7 days as a feasible treatment to reduce patient discomfort in mobile tongue cancer patients.

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عنوان ژورنال:

دوره 6  شماره 

صفحات  -

تاریخ انتشار 2014