Academic Journal
Whole abdominopelvic radiotherapy in the palliative treatment of pseudomyxoma peritonei
| العنوان: | Whole abdominopelvic radiotherapy in the palliative treatment of pseudomyxoma peritonei |
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| المؤلفون: | BERKOVIC, PATRICK, VAN DE VOORDE, LIEN, De Meerleer, Gert, Delrue, Louke, Speleers, Bruno, Van Belle, Simon, Vandecasteele, Katrien |
| المصدر: | STRAHLENTHERAPIE UND ONKOLOGIE ; ISSN: 0179-7158 |
| سنة النشر: | 2014 |
| المجموعة: | Ghent University Academic Bibliography |
| مصطلحات موضوعية: | Medicine and Health Sciences, Whole abdominopelvic radiotherapy, Recurrent pseudomyxoma peritonei, WAPRT, Intensity-modulated arc therapy, Abdominal obstruction, APPENDICEAL MUCINOUS NEOPLASMS, INTRAPERITONEAL CHEMOTHERAPY, CYTOREDUCTIVE SURGERY, OVARIAN-CANCER, ADENOMUCINOSIS, CARCINOMATOSIS, DISSEMINATION, IRRADIATION, PROGNOSIS, THERAPY |
| الوصف: | Background. Pseudomyxoma peritonei (PMP) is a rare clinical syndrome characterized by mucinous peritoneal disease arising from disseminated peritoneal adenomucinosis. Primary treatment involves a combination of cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (HIPEC). There is no consensus on the proper treatment of recurrent PMP. In selected patients, repeated cytoreductive surgery with or without HIPEC might improve outcome. However, every repeated debulking procedure becomes less effective with increased morbidity. Case report. We present a case of a patient with intestinal obstruction caused by recurrent pseudomyxoma peritonei. We treated the patient with whole abdominopelvic radiotherapy (WAPRT) using intensity-modulated arc therapy (IMAT) to a total dose of 33 Gy, delivered in 22 daily fractions. The treatment was well tolerated and resulted in resolution of the obstruction for a period of 24 months. Conclusion. To the best of our knowledge, we present the first case report showing the possibility of resolving intestinal obstruction with WAPRT in a patient with recurrent PMP. It is our opinion that WAPRT delivered by IMAT, in analogy with ovarian cancer, should be considered as a palliative treatment option in managing patients with recurrent PMP especially in case of obstruction. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| Relation: | https://biblio.ugent.be/publication/4251013; http://hdl.handle.net/1854/LU-4251013; http://dx.doi.org/10.1007/s00066-013-0470-7; https://biblio.ugent.be/publication/4251013/file/4251064 |
| DOI: | 10.1007/s00066-013-0470-7 |
| الاتاحة: | https://biblio.ugent.be/publication/4251013 http://hdl.handle.net/1854/LU-4251013 https://doi.org/10.1007/s00066-013-0470-7 https://biblio.ugent.be/publication/4251013/file/4251064 |
| Rights: | No license (in copyright) ; info:eu-repo/semantics/restrictedAccess |
| رقم الانضمام: | edsbas.19AF5DD6 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1007/s00066-013-0470-7 |
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