Document Detail


Fractionated wide-field radiation therapy followed by fractionated local-field irradiation for treating widespread painful bone metastasis.
MedLine Citation:
PMID:  20399031     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Wide-field radiation therapy (WFRT) is an effective treatment for widespread bone metastasis. We evaluated local-field irradiation (LFI) after fractionated WFRT (f-WFRT) for treating the patients with multiple painful bone lesions.
METHODS AND MATERIALS: From 1998 to 2007, 32 patients with multiple bone metastases were treated with fractionated LFI (f-LFI) after f-WFRT. All patients initially received 15 Gy in 5 fractions to a wide field, followed by LFI (9-15 Gy in 3 Gy fractions). Response was assessed by evaluating the degree of pain relief using a visual analog scale before radiotherapy, after f-WFRT, and after f-LFI.
RESULTS: Fractionated LFI following f-WFRT yielded an overall relief rate of 93.8% and a complete relief rate of 43.8%. The rate of the appearance of new disease was 6.3% for the patients with complete relief, 20.5% for the patients with a partial relief, and 50% for the patients with no relief.
CONCLUSION: Fractionated LFI after f-WFRT is a well-tolerated and effective treatment for multiple metastatic bone disease.
Authors:
Yongkan Ki; Wontaek Kim; Jiho Nam; Donghyun Kim; Hosang Jeon; Dahl Park; Dongwon Kim
Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2010-04-14
Journal Detail:
Title:  International journal of radiation oncology, biology, physics     Volume:  79     ISSN:  1879-355X     ISO Abbreviation:  Int. J. Radiat. Oncol. Biol. Phys.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-14     Completed Date:  2011-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7603616     Medline TA:  Int J Radiat Oncol Biol Phys     Country:  United States    
Other Details:
Languages:  eng     Pagination:  220-5     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Affiliation:
Department of Radiation Oncology, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Republic of Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Bone Neoplasms / mortality,  radiotherapy*,  secondary*
Female
Humans
Male
Middle Aged
Pain / radiotherapy*
Pain Measurement
Radiotherapy / adverse effects,  methods
Survival Analysis
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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