使用调强放疗(IMRT)的术后同步放化疗治疗原发性气管癌的年轻成年男性:一个显示5年长期生存的病例报告

Xueling Chen, Xuejian Ning, Tao Si
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引用次数: 0

摘要

目的原发性气管肿瘤的发病率极低。鳞状细胞癌(SCC)是最常见的气管恶性肿瘤的组织学类型。术后辅助放疗可作为一种治疗性管理选择。然而,关于使用放疗或同步放化疗治疗气管癌的数据有限,特别是调强放疗。患者和方法在此,我们报告了一例年轻成年男性诊断为原发性气管鳞状细胞癌,他接受了术后同步放化疗,利用调强放疗(IMRT)。治疗包括28次50.4 Gy的放疗和2个周期的化疗。结果患者出现Ⅰ级皮炎和Ⅱ级粒细胞增多症。随访未见复发或明显不良反应。患者获得了5年的长期生存,生活质量良好。结论原发性气管癌术后同步放化疗采用IMRT治疗是有效的,可提高患者的长期生存和生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Postoperative concurrent chemoradiotherapy utilizing intensity-modulated radiation therapy (IMRT) for a young adult male with primary tracheal carcinoma: A case report demonstrating 5-year long-term survival

Postoperative concurrent chemoradiotherapy utilizing intensity-modulated radiation therapy (IMRT) for a young adult male with primary tracheal carcinoma: A case report demonstrating 5-year long-term survival

Objective

The incidence of primary tracheal neoplasm is extremely rare. Squamous cell carcinoma (SCC) is the most prevalent histological type of tracheal malignancy. Postoperative adjuvant radiotherapy can be considered as a curative management option. However, there are limited data available on the use of radiotherapy or concurrent chemoradiotherapy for tracheal cancer, particularly intensity-modulated radiotherapy.

Patient and methods

Herein, we present a case report of a young adult male diagnosed with primary SCC of the trachea who underwent postoperative concurrent chemoradiotherapy utilizing intensity-modulated radiation therapy (IMRT). The treatment included 50.4 Gy radiation in 28 fractions and two cycles of chemotherapy.

Results

The patient experienced grade Ⅰ dermatitis and grade Ⅱ granulocytosis. Follow-up showed no evidence of recurrence or significant adverse effects. The patient achieved 5-year long-term survival with good quality of life.

Conclusion

Postoperative concurrent chemoradiotherapy using IMRT is effective for primary tracheal carcinoma, offering long-term survival and quality of life benefits.

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