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Title   위암과 대장 - 직장암환자에서 항암제와 외부방사선 조사를 병합한 수술중 방사선 치료의 합병증 ( Complication of Intraoperative Radiation Therapy ( IORT ) Combined with External Irradiation and Chemotherapy in Gastric and Colorectal Cancer )
Publicationinfo   1994 Jan; 026(01): 16-24.
Key_word   IORT, External irradiation, Chemotherapy, Complication
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Abstract   Although local recurrence is most troublesome problem even in early gastric and colorectal cancer, distant metastasis is the other cause of death among survivors. Department of Therapeutic Radiology & General Surgery in Yeungnam Medical Center tried prospective protocol which includes IORT and external irradiation for local control and various chemotherapy for systemic treatment since June 15, 1988. Total sixty eight patients(59 gastric, 9 colorectal) entered in our protocol. Fhysical examination, CBC, Chest X-Ray, and other biochemical examinations were performed on monthly basis, if it is necessary, CT, MRI and endoscopy were ordered. Sixty-one patients(53 gastric, 8 colorectal) were performed IORT(89.7%). Treatment related complications were found in 14 patients(23%) including 4 patients of gastro-intestinal bleedings (6.6%), 2 patients of bone marrow depressions(3.3%). 1 patient of perioperative abscess and sepsis(1.6%), 4 patients of intestinal obstructions(6.6%) and 4 patients of hand & leg edema(6.6%). Six of 14 patients with complications were dead(9.8%), probably due to complication. Our results are very encouraging, because only one patients with rectal cancer had local failure(1.6%) and complication rate is comparable with other published reports, in spite of our aggressive treatment. But reduced dose of chemotherapeutic agents, compromising of treatment sequence between chemotherapy and external irradiation and judicious perioperative care should be considered for further better results.
저 자   김명세(Myung Se Kim),김성규(Seong Kyu Kim),송선교(Sun Kyo Song),김재황(Jae Hwang Kim),김홍진(Hong Jin Kim),심민철(Min Chul Chim),권굉보(Koing Bo Kwun),김흥대(Heung Dae Kim)