Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Mangel, L; László, Z; Varga, Z; Sebestyén, Z; Szappanos, S; Lőcsei, Z; Mezősi, E; Horváth, ÖP; Battyáni, I; Zemplényi, A; Földi, I; Kollár, L.
[Stereotactic radiosurgery of abdominal cancer metastases. Report on the first successful extracranial radiosurgical intervention in Hungary].
Orv Hetil. 2015; 156(39): 1593-9.
Doi: 10.1556/650.2015.30183
(- Case Report)
Web of Science
PubMed
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- Co-authors Med Uni Graz
- Löcsei Zoltan
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- Abstract:
- Due to the development and increasing effectiveness of novel cancer therapies, the role of local treatments in metastatic diseases have been increasing in the last decades. The aim of the authors was to present the first successful extracranial stereotactic radiosurgical intervention in Hungary. A 58-year-old male patient with gastric adenocarcinoma underwent surgery and adjuvant chemotherapy. Later, surgical removal of suprarenal gland metastases and first line chemotherapy were carried out. Four years after the first surgery a follow up computed tomographic scan revealed bifocal peritoneal metastases caudally from the edge of the liver and the left kidney with diameters of 2 cm in size. Definitive stereotactic body radiosurgery of 12 Gy single dose was performed using cone beam computed tomography image guidance and intensity modulated arc therapy with two pairs of arcs. The total duration of the procedure was only 25 min and early or late side effects were not observed. Follow up computed tomography scans performed 3 and 7 months after the intervention showed complete regression of the metastases. The authors conclude that stereotactic body radiosurgery can be a safe and effective alternative of metastasis surgery in case of slow growing oligo-metastases.
- Find related publications in this database (using NLM MeSH Indexing)
- Adenocarcinoma - secondary, surgery
- Humans - administration & dosage
- Hungary - administration & dosage
- Male - administration & dosage
- Middle Aged - administration & dosage
- Organs at Risk - radiation effects
- Peritoneal Neoplasms - diagnostic imaging, secondary, surgery
- Radiosurgery - methods
- Stomach Neoplasms - pathology
- Tomography, X-Ray Computed - administration & dosage
- Treatment Outcome - administration & dosage
- Find related publications in this database (Keywords)
- oligometastases
- stereotactic abdominal radiosurgery
- image guided radiotherapy
- intensity modulated arc therapy