Thermo-radiotherapy Plus Chemotherapy and Hyperbolic Oxygen Therapy for Vertebral Metastasis with Paralysis from Rectal Cancer: A Case Report

  • NAKANO KEITA
    Department of Radiology, University of Occupational and Environmental Health
  • IMADA HAJIME
    Department of Radiology, University of Occupational and Environmental Health
  • SHIMA ICHIRO
    Department of Surgery, Saiseikai Yahata General Hospital
  • OHGURI TAKAYUKI
    Department of Radiology, University of Occupational and Environmental Health
  • YAHARA KATSUYA
    Department of Radiology, University of Occupational and Environmental Health
  • KATO FUMIO
    Department of Radiology, University of Occupational and Environmental Health
  • MORIOKA TOMOAKI
    Department of Radiology, University of Occupational and Environmental Health
  • KOROGI YUKUNORI
    Department of Radiology, University of Occupational and Environmental Health

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Other Title
  • 温熱放射線治療と化学療法, 高気圧酸素治療を施行した直腸癌骨転移による麻痺の1例

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Abstract

We report a patient with paralysis and severe lumbago due to a vertebral metastasis from rectal cancer, who was successfully treated with thermo-radiotherapy plus chemotherapy and hyperbolic oxygen therapy. The patient underwent 40Gy of radiotherapy, 12 sessions of hyperthermia and 16 sessions of hyperbolic oxygen therapy combined with weekly chemotherapy. His symptoms were gradually improved after start of the treatment, lumbago was relieved at the end of radiotherapy, and he became ambulatory. The patient was also treated for other distant metastases with radiotherapy, hyperthermia and chemotherapy continuously with keeping good quality of life during eight months after the completion of the treatments for vertebral metastasis. Combination of radiotherapy, hyperthermia, chemotherapy and hyperbaric oxygen therapy may be effective for complete paralysis due to vertebral metastasis in inoperative cases.

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