用放射治疗缓解恶性psoas综合征的早期疼痛:一个案例报告
Masafumi Uno1, Yukihisa Tamaki1, Hiroshi Burioka1
1Radiation Oncology, Shimane University Faculty of Medicine, Izumo, JPN.
Cureus
|December 5, 2024
概括
恶性psoas综合征疼痛可能是具有挑战性的管理. 息性辐射疗法在状脂瘤转移病例中提供了早期,有效的疼痛缓解,没有观察到任何不良事件.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 辐射瘤学 辐射瘤学
背景情况:
- 恶性psoas综合征是由psoas肌中的恶性瘤引起的,呈现出严重的疼痛.
- 目前对恶性psoas综合征的诊断和治疗策略还没有得到很好的定义.
- 在这种情况下,药物治疗疼痛往往是不够的.
研究的目的:
- 报告患有恶性psoas综合征的病例,该病例是myxoid liposarcoma转移的次要原因.
- 评估缓解性辐射疗法对恶性psoas综合征中的难治疼痛的疗效和安全性.
主要方法:
- 一个60多岁的日本男性的病例研究,他患有转移性myxoid脂肪瘤,导致恶性psoas综合征.
- 息性辐射治疗的总剂量为39 Gy,分为13个部分.
- 根据早期疼痛反应和患者的一般状况调整剂量.
主要成果:
- 显著的早期疼痛缓解是在放射治疗的八个部分中24 Gy后实现的.
- 继续进行放射治疗,患者在12个分数中完成了36 Gy.
- 在治疗过程中没有观察到与放射治疗相关的不良事件.
结论:
- 息性辐射疗法可以是恶性psoas综合征的早期疼痛管理的有效策略.
- 放射治疗为耐药性干预的疼痛提供了一个可行的治疗选择.
- 对恶性psoas综合征的放射治疗进行进一步的研究是有必要的.
相关概念视频
01:27Pneumothorax-II
120
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
120
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
49
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
49