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題 名 | Treatment of Laryngeal Radionecrosis with Hyperbaric Oxygen Therapy: A Case Report=以高壓氧治療喉部放射線性壞死--病例報告 |
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作 者 | 許英哲; 李家和; 何坤瑤; 蔡坤寶; 郭文烈; 王凌豐; 江豐裕; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 21:2 民94.02 |
頁 次 | 頁88-92 |
分類號 | 416.89 |
關鍵詞 | 放射線性壞死; 高壓氧治療; 喉癌; 併發症; Radionecrosis; Hyperbaric oxygen therapy; Laryngeal cancer; Complication; |
語 文 | 英文(English) |
中文摘要 | 一位 81 歲早期喉癌男性曾經接受 60 格雷劑量的治療性放射線療法。放射線治療結束後 2 個月,病患主訴咽喉痛,口臭,呼吸困難與發燒。以直達式喉鏡發現聲門狹窄與廣泛性潰瘍壞死組織。經多處切片病理顯示凝固性壞死與上皮完全剝落,並無發現惡性細胞。由於考慮喉部放射性壞死,病患接受了共 40 次的高壓氧治療。臨床症狀逐漸改善,並且於接近高壓氧治療結束與結束後 6 個月再一次接受切片檢查。患者喉部完全癒合但有廣泛纖維化,但病理檢驗無惡性發現。早期喉癌在接受治癒性放射線治療後,放射線性壞死必須要與癌症復發做鑑別診斷。高壓氧對於喉部放射線性壞死可做為一個有用的輔助性治療。 |
英文摘要 | An 81-year-old male with early-stage laryngeal carcinoma had been treated with 60 Gy curative radiotherapy. He complained of a sore throat, foul odor in the mouth, progressive dyspnea, and fever 2 months after the completion of radiotherapy. Direct laryngoscopy revealed narrowing of the glottis with diffuse ulcerative necrotic tissue. Biopsies at multiple sites and pathology revealed intense coagulation necrosis with complete denudation of covering epithelium without any malignancy. Since laryngeal radionecrosis was suspected, the patient received hyperbaric oxygen (HBO) therapy 40 times for 1 hour of 100% O2 at 2 atm absolute pressure. His clinical symptoms gradually improved and repeated endolaryngeal biopsies were undertaken near the end of HBO therapy and again 6 months later. The patient’s larynx healed completely with diffuse fibrosis and no malignant cells were found on pathology. Radionecrosis must be differentiated from cancer recurrence following curative radiotherapy for early laryngeal cancer. HBO therapy could be a useful treatment adjunct for laryngeal radionecrosis. |
本系統中英文摘要資訊取自各篇刊載內容。