Radiative cure treats medium status in rectum cancer:
1 can excise sexual rectum cancer after cure, skill is being put before putting cure to include method, put cure and pure put cure.
Cure puts before art: The potential profit that cure puts before art has:
(1) can reduce the tumour in art to cultivate, reduce the occurence rate; of adhesion of small intestine of the pelvic cavity after art
(2) can make send tumor bulk to narrow formerly, if tumor position is close to dentate line, the operation that can make withhold anal constrictor by original turn into impossibly likelihood, raised a patient live quality;
(3) can reduce pelvic cavity lymph node in installment, reduce the local recrudesce rate of tumor, can improve 5 years of survival rate of the patient, to Dukes C period the patient is more such. Data of much group statistic makes clear, local recrudesce rate is the person that cure is put before art 8%-17% , and pure surgery team is 30% the left and right sides. Cure dosage is put to be 40-45Gy more before art, put operation of week of the 4-6 after cure ends.
Art hind puts cure: Cure is put to apply to an operation to confirm tumor is after the art that can excise sexual rectum cancer local and terminal (T3-4) or have lymph node be put into trouble (N1-2) person. American hemp saves the data of total hospital and M.D.Anderson hospital to make clear, in TNM in installment below same situation, cure is put to be able to be reduced after accepting method local recrudesce is led and raise survival rate. Cure is put to be set commonly after art 3 wild or all around, put cure dosage 46-50Gy.
Pure put cure: Pure put cure to because of,be applied to only other disease cannot the patient of the operation, can use treatment of the outfit after external exposure is mixed. After Papillon reports the patient of 71 clinical T2 or T3 accepts external exposure and close quarters treatment, it is 5 years without ill survival rate 65% , the 62% functions that retained normal and anal constrictor.
2 local and terminal with the rectum cancer that cannot excise put cure: To this kind of patient, because of the operation excision is in easily kitchen of incomplete of pelvic cavity bequeath, the pelvic cavity before reason art puts cure to should treat mode as the standard. Put cure to should give enough dose, should be in commonly 45Gy above. After putting cure, can make the tumor change of 48%-64% patient is can excise. The rate that the tumour before cure secures has certain effect to curative effect. To improve result of the cure before art, can put in application of the combination before art, change cure. Also somebody puts cure in try out art.
Rectum of 3 recrudesce sex puts cure again before cancerous art: The Mohiuddin local recrudesce patient that reported 32 ever accepted pelvic cavity illuminate, try give side is tough shrink wild illuminate + 5-Fu lasts vein is defeated note, illuminate is wild do not involve whole pelvic cavity, bladder, small intestine eliminates to be in as far as possible illuminate is field. 32 have 17 to accept an operation again in the exemple, 15 focus of a disease are excised.
As the progress of the technology that put cure, comfortable form puts cure to apply increasingly already at the cure of rectum cancer, this technology raised the bureau of tumor to accuse to lead not only, still reduced the deputy reaction that puts cure apparently
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(the exercitation edits: Chen Junqi)
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