• 제목/요약/키워드: Intracavitary

검색결과 154건 처리시간 0.019초

개의 악성중피종의 흉강내 Carboplatin 투여 증례 (Intracavitary Carboplatin Chemotherapy in a Malignant Mesothelioma Dog)

  • 홍성혁
    • 한국임상수의학회지
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    • 제18권2호
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    • pp.167-169
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    • 2001
  • A 10-year-old castrated male Siba dog was presented for signs referable to pleural effusion associated with neoplasm of the thoracic cavity. The pleural effusion fluid consisted of blood and tumor cells by thoracocentesis. Histopathological examination of the sedimentary tumor cells revealed malignant mesothelioma. Intracavitary carboplatin was administered at 300 mg/$m^2$ every 5 weeks for 3 treatment and pleural effusion was disappeared after 3 treatments. The dog had recurrence of pleural effusion at 515 days but intracavitary carboplatin chemotherapy had no effect. It would be thought that the intracavitary carboplatin treatment was quite a useful method to control a canine malignant mesothelioma with minimal toxicity.

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개에서 전이성 심장내 대동맥체 종양의 초음파적 진단 (Ultrasonographic Diagnosis of Metastatic Intracavitary Cardiac Aortic Body Tumor in a Dog)

  • 박인철
    • 한국임상수의학회지
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    • 제17권1호
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    • pp.173-177
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    • 2000
  • A 3-year-old male Tosa was presented the severe dyspnea, emaciation and dehy dration. By echocardiograpy, right ventricle was found to be a mobile mass dynamically occluding the right ostium atrioventriculare in the systolic phase. At necropsy, 14 days after ultrasonography multiple tumor masses of various size were observed in the heart base, right ventricular lumen, myocardium, lung and liver. Histopathologically, the tumor cells, arranged in sheets or nests, were diagnosed as metastatic intracavitary cardiac aortic body tumor

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자궁경부암 고선량율 강내조사치료시 A, B점 선량과 Curie-minutes 단위의 비교 (Intracavitary Dosimetry: A Comparison of Doses at Point A and B to Curie-minutes in Cervical Cancer)

  • 허승재
    • Radiation Oncology Journal
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    • 제7권1호
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    • pp.81-83
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    • 1989
  • This study, involving thirty-two patients with carcinoma of uterine cervix treated by high dose rate intracavitary irradiation using a remotely controlled afterloading system, compares the doss at point A and 8 with the Curie-minutes prescription. A linear least-square regression analysis was used to compare the two sets of date. Correlation coefficients between doses at points A and B and the Ci-min prescription are 0.92 (p<0.001) and 0.90 (p<0.001), respectively, and linear relationship is observed between these two system. The limitation and significance of the comparison of the two approaches to intracavitary dosimetry is discussed.

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악성흡수에 OK-432를 이용한 흉막유착술 (Treatment of Malignant Effusion with Intracavitary OK-432 Chemical Pleurodesis)

  • 김맹호;이헌재
    • Journal of Chest Surgery
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    • 제29권4호
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    • pp.414-419
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    • 1996
  • 본 고려대학교 흉부외과 교실에서는 1990년부터 1994년까지 악성흡수로 진단된 81명을 대상으로 악 성흥수의 임상적 인 증상과 원인을 살펴보고, 이 중 64명을 대상으로 화학적 흥막유착술을 실시하여 그 결과를 관찰하였다. 악성흥수의 가장 많은 원인 질환은 남녀 (27세 ∼82세)모두 폐암으로 50 % 의 빈도를 보였고, 가장 흔 한 증상으로는 호흡기 증상이 였다. 화학적 흥막유착술을 실시한 환자의 평균시술횟수는 4회이 였으며, 1달 이내 흥수가 재발하지 않은 단 기간반웅성공율은 92 % 였고, 1달 이상 흥수의 재발이 없었던 장기간 반응성공율은 94 %로 다른 scler- osant보다 높은 성공률을 볼 수 있었다 또한, 화학적흥막유착술을 실시한 후 발생한 부작용은 주로 발 열과 통증으로 이는 비스테로이드성 소염진통제를 투여하여 조절할 수 있었다 악성흥수의 치료에 OK-4)2로 화학적 흥막유착술을 실시하여 좋은 결과를 얻었기에 이에 보고하는 바이다.

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자궁경부암 IIIB 기의 방사선치료 성적 (Result of Radiation Therapy of the Cervix Cancer Stage IIIB)

  • 허승재
    • Radiation Oncology Journal
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    • 제11권1호
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    • pp.143-148
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    • 1993
  • From September 1985 through September 1989,56 patients with stage IIIB carcinoma of the cervix were treated with radiation therapy with curative aim. The overall survival at 5 year was $38{\%}$. The survival rate was better for patients treated with combined external radiotherapy and high dose rate intracavitary radiotherapy than with external radiotherapy alone. No significant survival difference was observed between the unilateral and bilateral parametrial extension of the tumor Seventeen patients experienced recurrence within the irradiated field with a loco-regional recurrence rate of $30{\%}$. Ten patients had complications ($18{\%}$). The complications were mild in three, moderate in four, and severe in three patients. A study was made on the relationship between the fraction numbers of intracavitary radiotherapy, vaginal packing and the complication rate, respectively. In this analysis author observed that the significant treatment factor influencing the survival of cervical cancer was the use of intracavitary radiation, and meticulous vaginal packing could decrease the late complication rate of radiotherapy of cervical cancer.

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방사선 강내치료를 위한 소조사면 전자선cone의 선량분포 특성 (Fabrication and Dosimetry Characteristics of Intracavitary Cones for Radiotherapy)

  • 나수경;권수일
    • 한국의학물리학회지:의학물리
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    • 제12권1호
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    • pp.95-102
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    • 2001
  • 방사선치료용 고 에너지 전자선의 조직내 선량분포는 매우 다양하게 나타나고 있으며 조직내에서 일정 깊이까지만 선량이 집중적으로 부여되고 그 이후에는 선량이 급감하는 특징으로 인하여 피부 및 피부에서 깊지않은 종양과 구강, 질강 등 강내조사에 존재하는 종양치료에 널리 이용되고 있다. 하지만 의료용 선형가속기에는 강내조사용 조사통(cone)이 제공되지 않고 있다. 본 실험은 2.5, 3.0, 3.5 cm ø 크기의 강내조사용 소조사면 조사통을 수직형과 30$^{\circ}$ 경사형으로 6가지를 직접 제작하여 에너지별, 조사통 크기별로 조직내 선량분포 특성을 실험하여 임상적 선량계획에 필요한 자료를 제공하는데 목적을 두고 실험하였다. 심부선량은 조사통 크기, 에너지 크기, 조사통 각도에 따라 다르게 나타나고 있으며 유효선량 깊이는 전자선 에너지 및 조사통이 커질수록 약간 증가하였고, X선 오염정도는 1.2% 이하로 나타났으며, 출력흡수선량율은 약 15-86 %로 나타났다. 고 에너지 전자선은 강내치료에 매우 유용하게 이용될 수 있으며, 조직내 선량분포 특성이 매우 다양한 양상을 나타내고 있음을 확인하였고 이러한 결과를 자료화하여 임상적 치료와 새로운 선량분포 모형 연구에 필요한 자료를 제공할 수 있으리라 생각한다.

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경피적 공동내 Amphotericin B 주입술에 의한 폐국균종 치험 1예 (A Case of Percutaneous Intracavitary Amphotericin B Instillation for the Treatment of Hemoptysis due to Pulmonary Aspergilloma)

  • 이홍렬;조흥근;김세규;장준;김성규;이원영;최규옥
    • Tuberculosis and Respiratory Diseases
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    • 제39권2호
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    • pp.180-185
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    • 1992
  • The most common symptom associated with an pulmonary aspergilloma is hemoptysis, with estimates of frequency ranging from 50 to 85 percent of patients. Hemoptysis may be infrequent and minimal in amount or it may be severe with a fatal outcome. The major options available for the treatment of pulmonary aspergilloma include sugical resection of the lesion, a number of medical therapies, or simple observation of the patient for a time. Surgery is the treatment of choice but it is not feasible in some patients who have diffuse or advanced pulmonary disease that makes them poor candidates for thoracotomy. As an alternative to it, some categories of therapy including bronchial artery embolization and parenteral or endobronchial administration of antifungal drugs were tried without remarkable success. But percutaneous instillation of intracavitary amphotericin B for symptomatic aspergilloma has been reported with better result. The authors present a case of percutaneous intracavitary instillation of amphotericin B for the treatment of pulmonary aspergilloma and its successful result for the repetitive hemoptysis.

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Intracavitary Radiation Therapy for Recurrent Cystic Brain Tumors with Holmium-166-Chico : A Pilot Study

  • Ha, Eun Jin;Gwak, Ho-Shin;Rhee, Chang Hun;Youn, Sang Min;Choi, Chang-Woon;Cheon, Gi Jeong
    • Journal of Korean Neurosurgical Society
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    • 제54권3호
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    • pp.175-182
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    • 2013
  • Objective : Intracavitary injection of beta-emitting radiation source for control of cystic tumors has been tried with a benefit of localized internal radiation. The authors treated cystic brain tumor patients with Holmium-166-chitosan complex (Ho-166-chico), composed of a beta-emitting radionuclide Holmium-166 and biodegradable chit polymer, and evaluated the safety and effective measurement for response. Methods : Twenty-two patients with recurrent cystic brain tumor and/or located in a deep or eloquent area were enrolled in this pilot study. The cyst volume and wall thickness were determined on CT or MRI to assess radiological response. The activity of Ho-166-chico injected via Ommaya reservoir was prescribed to be 10-25 Gy to the cyst wall in a depth of 4 mm. Results : There was neither complications related to systemic absorption nor leakage of Ho-166-chico in all 22 patients. But, two cases of oculomotor paresis were observed in patients with recurrent craniopharyngioma. Radiological response was seen in 14 of 20 available follow-up images (70%). Seven patients of 'evident' radiological response experienced more than 25% decrease of both cyst volume and wall thickness. Another 7 patients with 'suggestive' response showed decrease of cyst volume without definitive change of the wall thickness or vice versa. All patients with benign tumors or low grade gliomas experienced symptomatic improvement. Conclusion : Ho-166-chico intracavitary radiation therapy for cystic tumor is a safe method of palliation without serious complications. The determination of both minimal effective dosage and time interval of repeated injection through phase 1 trial could improve the results in the future.