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J Korean Cancer Assoc > Volume 16(1); 1984 > Article
Journal of the Korean Cancer Association 1984;16(1): 39-45.
상대정맥증후군의 방사선치료
권형철, 윤세철, 박용휘, 김훈교, 이경식
Radiation Therapy ( RT ) of Superior Vena Cava Syndrome ( SVCS )
Hyung Chul Kwon, Sei Chul Yoon, Yong Whee Bahk, Hoon Kyo Kim, Kyung Shik Lee
ABSTRACT
Superiar vena cava syndrome(SVCS) is oncologic emergency with typical clinical features. The diagnosis can be made by physical findings(PF), simple chest X-ray(CXR) and compu- ted tomogram(CT) scanning. The treatment of choice is radiation therapy(RT). We analyzed clinical data of SVCS in g cases diagnosed by PF & CT acanning and treated by 6 MV linear accelerator during the past 1 year at deparment of radiology, Catholic Medical College. The results were as follows; 1) Vine cases consist of 7 males and 2 females. Their ages ranged from 16-71 years. 2) Pathologic diagnosis were bronchogenic carcinoma(4 cases), dysgerminoma(1 case), embryonal carcinoma(1 case) and undetermined(3 cases). 3) Most frequent PF of SVCS were neck vein distension, facial edema, dyspnea in decrea- sing order. 4) The fractionation of RT usually included 3 4 initial fractian af 300~400 rad, fallowed by additional daily dose of 180-200 rad to complete tota1 4,000~6,000 rad tumor dose. During those times, We used therapeutic planning computer. 5) We observed complete or partial response in 8 cases on 1st to 14th day of RT.
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