对嗅觉神经母细胞瘤进行重复中子捕获疗法的首次临床应用:尽管区域性进展,但实现了局部控制
Hung-Ruei Liao1, Ming-Ying Lan2, Ko-Han Lin3
1Radiation Oncology, Taipei Veterans General Hospital, Taipei, TWN.
两种疗程的子中子捕获疗法 (BNCT) 显示出作为复发性嗅觉神经母细胞瘤 (ONB) 的救援治疗的希望. 这种方法允许高瘤剂量,同时节省健康组织,尽管异质性需要仔细监测.
科学领域:
- 在瘤学瘤学.
- 辐射瘤学 辐射瘤学
- 医学物理 医学物理
背景情况:
- 嗅觉神经母细胞瘤 (ONB) 是一种罕见的恶性瘤,具有具有挑战性的复发模式.
- 对多次复发的ONB的救援治疗选择有限,通常涉及手术或常规放射治疗.
- 内异质性会影响治疗的有效性和计划.
研究的目的:
- 评估二次中子捕获疗法 (BNCT) 对多次复发性ONB的可行性和临床结果.
- 探索内异质性在ONB的BNCT治疗计划中的作用.
主要方法:
- 一名患有复发性ONB的患者接受了两次BNCT疗程,使用甲 (BPA) 和中子辐射.
- 剂量测量以18F-fluciclovine PET成像和SERA治疗计划系统为指导.
- 在治疗后监测瘤反应和不良反应.
主要成果:
- 第一次BNCT疗程导致了显著的瘤缩,但在死角区域观察到残留活性.
- 第二次BNCT疗程在主要部位产生了几乎完全的反应,没有高度毒性.
- 维持了局部控制,但出现了新的宫转移,表明需要监视.
结论:
- BNCT是一种强效和安全的救援疗法,用于复发性,耐辐射的ONB,可实现高瘤剂量.
- 内异质性带来了挑战,支持分成的BNCT和对节点盆地的警监测.
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