Radiotherapy on hidradenocarcinoma

被引：20

作者：

Lalya, Issam ^{[1
,2
]}

Hadadi, Khalid ^{[1
]}

Tazi, El Mehdi ^{[2
]}

Lalya, Ilham ^{[3
]}

Bazine, Amine ^{[1
]}

Andaloussy, Khalid ^{[1
]}

Elmarjany, Mohamed ^{[1
]}

Sifat, Hassan ^{[1
]}

Hassouni, Khalid ^{[2
]}

Kebdani, Tayeb ^{[2
]}

Mansouri, Hamid ^{[1
]}

Benjaafar, Noureddine ^{[2
]}

Elgueddari, Brahim Khalil ^{[2
]}

机构：

[1] Mil Hosp Mohamed V, Dept Radiotherapy, Rabat, Morocco

[2] Natl Inst Oncol, Dept Radiotherapy, Rabat, Morocco

[3] Dept Head & Neck Surg, Casablanca, Morocco

来源：

NORTH AMERICAN JOURNAL OF MEDICAL SCIENCES | 2011年 / 3卷 / 01期

关键词：

Hidradenocarcinoma; sweat-gland; rare; surgery; recurrence; megavoltage external beam radiotherapy;

D O I：

10.4297/najms.2011.343

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Context : Clear cell Hidradenocarcinoma is a rare carcinoma arising from sweat glands. It is an aggressive tumor that most metastasizes to regional lymph nodes and distant viscera; surgery with safe margins is the mainstay of treatment. Case Report: We report a case of 68-year-old woman who presented with an invasive clear cell hidradenocarcinoma situated in the left parotid area which recurred 5 months after surgery, this recurrence was managed successfully by high-dose irradiation of the tumor bed ( 66 Gy) and regional lymphatic chains (50 Gy), after a follow-up of more than 15 months, the patient is in good local control without significant toxicity. Conclusion : Post operative radiotherapy allows better local control and should be mandatory when histological features predictive of recurrence are present: positive margins, histology poorly differentiated, perineural invasion, vascular and lymphatic invasion, lymph node involvement, and extracapsular spread.

引用

页码：43 / 45

页数：3

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