Excluding the small bowels by a tissue expander to avoid late effect of radiotherapy in pediatric pelvic malignant tumors

  • KANEKO,Michio
    Department of Pediatric Surgery and Radiation Oncology, University of Tsukuba
  • TATEKAWA,Yukihiro
    Department of Pediatric Surgery and Radiation Oncology, University of Tsukuba
  • HIRAI,Misako
    Department of Pediatric Surgery and Radiation Oncology, University of Tsukuba
  • 福島,敬
    筑波大学臨床医学系小児科
  • KOMURO,Hiroaki
    Department of Pediatric Surgery and Radiation Oncology, University of Tsukuba
  • URITA,Yasuhisa
    Department of Pediatric Surgery and Radiation Oncology, University of Tsukuba
  • KUDOH,Sumi
    Department of Pediatric Surgery and Radiation Oncology, University of Tsukuba
  • HOSHINO,Noriko
    Department of Pediatric Surgery and Radiation Oncology, University of Tsukuba
  • SAKAMOTO,Naoya
    Department of Pediatric Surgery and Radiation Oncology, University of Tsukuba
  • OHSHIRO,Yoshiko
    筑波大学臨床医学系放射線腫瘍科
  • SAKURAI,Hideyuki
    筑波大学臨床医学系放射線腫瘍科
  • OHARA,Kiyoshi
    筑波大学臨床医学系放射線腫瘍科

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Other Title
  • 骨盤内腫瘍に対するより良い放射線治療を目指して : ティッシューエクスパンダーによる腹腔内臓器排除法

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Description

Radiotherapy to pelvic malignant solid tumors often associates with radiation enteritis, cystitis as well as pelvic deformity due to bone and soft tissue hypoplasia. Exclusion of the small bowels from the radiation field by placement of tissue expander was performed in 3 children with pelvic rhabdomyosarcoma. Second radiation therapy was given after resection of the recurrent tumors in 2 patients, one by photon beam and the other by proton beam. Removal of expander was easy. All the 3 patients are alive disease-free without any radiation sequelae.

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