Additional volumetric modulated arc therapy to vertebral metastases abutting the previously irradiated site
Journal Title: Global Journal of Medical and Clinical Case Reports - Year 2014, Vol 1, Issue 1
Abstract
Introduction: Lung cancer frequently causes metastases to the spine, especially to the thoracic vertebrae, which sometimes compress the spinal cord and induce irreversible palsy. Many patients suffering from metastatic spinal tumors need to undergo repetitive radiotherapy. In such situations, intensity-modulated radiotherapy including volumetric modulated arc therapy can reduce the dose delivered to the spinal cord at the junction. Case Report: The authors describe a case of thoracic vertebral metastases from lung cancer treated with two courses of radiotherapy. In the second course, volumetric modulated arc therapy was adopted and a columnar-shaped planning target volume with a concave portion was configured. Conclusion: The authors propose an approach aimed at realizing both junctional safety and the conformality of the spinal column, which may be an option for repetitive irradiation to heterochronic spinal metastases.
Authors and Affiliations
Baku Sakashita, Takatsugu Kawase, Kazuyoshi Kanai, Minako Uchino, Tomoko Itazawa, Satoshi Nagasaka, Satsuki Kina
Keywords
Related Articles
- EP ID EP238431
- DOI 10.17352/2455-5282.000001
- Views 109
- Downloads 0
Vitamin D, Glutamine, Evidence-Based Medicine, and Close Staff Supervision Reduce Mortality Rate at a Level I Trauma Center
Background: It has been estimated that over 400,000 patients die each year from medical errors in the United States. The purpose of this study was to investigate the impact of vitamin D (a steroid hormone and immune modu...
A giant abdominal well differentiated Liposarcoma: A rare etiology of abdominal mass
Liposarcoma is the most common retroperitoneal sarcoma and represents more than 15% of all sarcomas. Well differentiated liposarcoma is usually located in the extremities. We report the case of a patient with a giant ret...
CIPP Model Evaluation of a Collaborative Diabetic Management in Community Setting
Diabetic management requires a continuous assessment of performance, looking at successes and failures. Especially in community setting, the development of a Collaborative Diabetes Management [CDM], Low Sugar Volunteers...
Relationship between BMI, PSA and Histopathological Tumor Grade in a Caucasian Population Affected by Prostate Cancer
The aim of this work is to show the relationship between obesity and aggressivenes of Prostate Cancer. We conducted a retrospective study of 132 men affected by Prostate Cancer underwent radical prostatectomy. Gleason sc...
Synovial Sarcoma of Thyroid Gland: Case Report and Review of Literature
Synovial sarcoma accounts for 5 to 10% of soft tissue sarcoma. It occurs mainly in young adults, where 90% of cases occur before 50 years. Over 80% of cases arise in deep soft tissue of extremities, especially around the...