Radiation Oncology Journal

  • 제29권2호
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  • Pages.127-133
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  • 2011
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  • 2234-1900(pISSN)
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  • 2234-3156(eISSN)
대한방사선종양학회 (The Korean Society for Radiation Oncology)
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4년간 17 전이부위에 방사선치료를 받은 위암 환자의 증례보고

A Case Report of a Gastric Cancer Patient with a Good Quality of Life after Radiotherapies to 17 Metastases for 4 Years

  • 윤형근 (동국대학교 일산병원 방사선종양학과)
  • Yun, Hyong-Geun (Department of Radiation Oncology, Dongguk University Ilsan Hospital)
  • 투고 : 2011.04.28
  • 심사 : 2011.05.30
  • 발행 : 2011.06.30
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초록

5년 반 전 처음 위암 발견 당시 45세였던 여자 환자로 처음부터 원격전이가 있었던 상태였으며 위절제술과 전이부위 절제를 포함한 수술과 항암제치료를 받았다. 그 후 4년 2개월 전부터 여러 차례 새로운 원격전이가 나타날 때마다 간헐적인 경구용 TS-1 항암제 치료와 함께 방사선치료를 시행 받았다. 방사선치료는 4년여에 걸쳐서 8차 시행하였으며 총 시행부위 수는 17 부위였다. 환자의 방사선치료 부위들 중에 근치적 방사선량의 치료를 받은 부위들은 그 뒤 수년의 시간이 흘러도 해당 부위의 국소조절 상태가 유지되었다. 환자는 현재 51세로 일상생활에는 별 지장이 없는 상태이다.

Five and half years ago, a 45-year-old female metastatic gastric cancer patient underwent a metastatectomy and chemotherapy. Over the last 4 years and 2 months, she received radiotherapy for every new distant metastasis with intermittent TS-1 oral chemotherapy. She received 8 courses of radiotherapy at 17 metastatic sites for more than 4 years. Metastatic sites which received a curative radiation dose achieved and maintained local control. The patient is now 51 years of age and lives without difficulty in performing her daily activities.

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