Radiotherapy and particle therapy for unresectable cholangiocarcinoma
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- Terashima Kazuki
- Department of Radiology, Hyogo Ion Beam Medical Center
Bibliographic Information
- Other Title
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- 切除不能胆道癌に対する放射線治療・粒子線治療
Abstract
<p>Radiotherapy (RT) using X-rays and particle therapy (PT) using proton and heavy-ion beams for intrahepatic cholangiocarcinoma (IHCC) and perihilar cholangiocarcinoma (PHCC) are important treatment options as preoperative, postoperative, and definitive therapy. Postoperative adjuvant RT for resectable and definitive PT for unresectable IHCC have shown to be effective. The efficacy of postoperative adjuvant RT using intensity-modulated RT and definitive PT for unresectable PHCC are suggested. For safe RT and PT, spacer implantation has been attempted, and bioabsorbable spacers are currently available. RT and PT should be administered cautiously to avoid bile duct rupture and arterial injury caused by metallic biliary stents. Because RT and PT have minimal invasiveness and a wide range of treatment options, from palliative to radical, these should be considered as treatment options for any patient and tumor condition.</p>
Journal
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- Tando
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Tando 38 (1), 25-32, 2024-03-31
Japan Biliary Association
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Keywords
Details 詳細情報について
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- CRID
- 1390581148794615808
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- ISSN
- 18836879
- 09140077
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- Text Lang
- ja
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- Data Source
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- JaLC
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- Abstract License Flag
- Disallowed