温熱放射線治療と化学療法, 高気圧酸素治療を施行した直腸癌骨転移による麻痺の1例 Thermo-radiotherapy Plus Chemotherapy and Hyperbolic Oxygen Therapy for Vertebral Metastasis with Paralysis from Rectal Cancer : A Case Report

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Abstract

直腸癌切除後の第4腰椎椎弓への転移性骨腫瘍に起因した癌性疼痛, 下肢麻痺, 排尿障害に対して, 温熱放射線治療に化学療法, 高圧酸素療法を併用し, 症状の著明な改善が得られた一症例を報告する.<br>手術適応のない転移性骨腫瘍による脊髄障害に対して温熱療法を含めた集学的治療が有効であると考えられる.

We report a patient with paralysis and severe lumbago due to a vertebral metastasis from rectal cancer, who was successfully treated with thermo-radiotherapy plus chemotherapy and hyperbolic oxygen therapy. The patient underwent 40Gy of radiotherapy, 12 sessions of hyperthermia and 16 sessions of hyperbolic oxygen therapy combined with weekly chemotherapy. His symptoms were gradually improved after start of the treatment, lumbago was relieved at the end of radiotherapy, and he became ambulatory. The patient was also treated for other distant metastases with radiotherapy, hyperthermia and chemotherapy continuously with keeping good quality of life during eight months after the completion of the treatments for vertebral metastasis. Combination of radiotherapy, hyperthermia, chemotherapy and hyperbaric oxygen therapy may be effective for complete paralysis due to vertebral metastasis in inoperative cases.

Journal

  • Thermal Medicine(Japanese Journal of Hyperthermic Oncology)

    Thermal Medicine(Japanese Journal of Hyperthermic Oncology) 22(2), 83-88, 2006-06-01

    Japanese Society for Thermal Medicine

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