Case 23-2005: A Man with a Mass in the Liver
To the Editor: Tanabe et al. (July 28 issue) 1 provide an excellent example of the multidisciplinary decision making required in the case of a typical patient with hepatocellular carcinoma. Although radioactive yttrium-90 microspheres delivered through the hepatic artery were discussed as a treatmen...
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| Veröffentlicht in: | The New England journal of medicine 2005-11, Vol.353 (20), p.2195-2197 |
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| container_end_page | 2197 |
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| container_issue | 20 |
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| container_title | The New England journal of medicine |
| container_volume | 353 |
| creator | Hawkins, Maria A Dawson, Laura A Smith, Alastair D Morse, Michael A Kuo, Paul C Gans, Henry Tanabe, Kenneth K Chung, Raymond T Blaszkowsky, Lawrence S |
| description | To the Editor:
Tanabe et al. (July 28 issue)
1
provide an excellent example of the multidisciplinary decision making required in the case of a typical patient with hepatocellular carcinoma. Although radioactive yttrium-90 microspheres delivered through the hepatic artery were discussed as a treatment option, external-beam radiation was not. Historically, radiation therapy has played a minor role in the treatment of hepatocellular carcinoma, primarily because of the low tolerance of the whole liver to radiation. However, technological advances in tumor imaging, conformal-radiation planning, and radiation delivery have facilitated the safe use of high-dose radiotherapy for focal hepatocellular carcinomas, including tumors unsuitable . . . |
| doi_str_mv | 10.1056/NEJM200511173532019 |
| format | Article |
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Tanabe et al. (July 28 issue)
1
provide an excellent example of the multidisciplinary decision making required in the case of a typical patient with hepatocellular carcinoma. Although radioactive yttrium-90 microspheres delivered through the hepatic artery were discussed as a treatment option, external-beam radiation was not. Historically, radiation therapy has played a minor role in the treatment of hepatocellular carcinoma, primarily because of the low tolerance of the whole liver to radiation. However, technological advances in tumor imaging, conformal-radiation planning, and radiation delivery have facilitated the safe use of high-dose radiotherapy for focal hepatocellular carcinomas, including tumors unsuitable . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJM200511173532019</identifier><identifier>PMID: 16291994</identifier><language>eng</language><publisher>United States: Massachusetts Medical Society</publisher><subject>Carcinoma, Hepatocellular - radiotherapy ; Humans ; Liver Neoplasms - radiotherapy ; Male ; Radiotherapy, Conformal ; Survival Rate</subject><ispartof>The New England journal of medicine, 2005-11, Vol.353 (20), p.2195-2197</ispartof><rights>Copyright © 2005 Massachusetts Medical Society. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c390t-e0035bf8bfb66f94a422eff25e0f18637c7ffe47be84a3dad6b6d4a972a105b03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJM200511173532019$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJM200511173532019$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>314,776,780,2746,2747,26080,27901,27902,52357,54039</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16291994$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hawkins, Maria A</creatorcontrib><creatorcontrib>Dawson, Laura A</creatorcontrib><creatorcontrib>Smith, Alastair D</creatorcontrib><creatorcontrib>Morse, Michael A</creatorcontrib><creatorcontrib>Kuo, Paul C</creatorcontrib><creatorcontrib>Gans, Henry</creatorcontrib><creatorcontrib>Tanabe, Kenneth K</creatorcontrib><creatorcontrib>Chung, Raymond T</creatorcontrib><creatorcontrib>Blaszkowsky, Lawrence S</creatorcontrib><title>Case 23-2005: A Man with a Mass in the Liver</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>To the Editor:
Tanabe et al. (July 28 issue)
1
provide an excellent example of the multidisciplinary decision making required in the case of a typical patient with hepatocellular carcinoma. Although radioactive yttrium-90 microspheres delivered through the hepatic artery were discussed as a treatment option, external-beam radiation was not. Historically, radiation therapy has played a minor role in the treatment of hepatocellular carcinoma, primarily because of the low tolerance of the whole liver to radiation. However, technological advances in tumor imaging, conformal-radiation planning, and radiation delivery have facilitated the safe use of high-dose radiotherapy for focal hepatocellular carcinomas, including tumors unsuitable . . .</description><subject>Carcinoma, Hepatocellular - radiotherapy</subject><subject>Humans</subject><subject>Liver Neoplasms - radiotherapy</subject><subject>Male</subject><subject>Radiotherapy, Conformal</subject><subject>Survival Rate</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1Lw0AQhhdRbK3-AkH25EWjM_uVXW-l1C9aveh52SS7NKVJazZV_PemtOBFpHOZOTzvA_MSco5wgyDV7cv4ecoAJCKmXHIGaA5IHyXniRCgDkkfgOlEpIb3yEmMc-gGhTkmPVTMoDGiT65HLnrKeLIx3dEhnbqafpXtjLrujJGWNW1nnk7KT9-ckqPgFtGf7faAvN-P30aPyeT14Wk0nCQ5N9AmHoDLLOgsZEoFI5xgzIfApIeAWvE0T0PwIs28Fo4XrlCZKoQzKXPdYxnwAbncelfN8mPtY2urMuZ-sXC1X66jVVojUwz3AkFqvR-IUnQg34J5s4yx8cGumrJyzbdFsJva7R-1d6mLnX6dVb74zex67oCrLVBV0dZ-Xv2r-wELwoTB</recordid><startdate>20051117</startdate><enddate>20051117</enddate><creator>Hawkins, Maria A</creator><creator>Dawson, Laura A</creator><creator>Smith, Alastair D</creator><creator>Morse, Michael A</creator><creator>Kuo, Paul C</creator><creator>Gans, Henry</creator><creator>Tanabe, Kenneth K</creator><creator>Chung, Raymond T</creator><creator>Blaszkowsky, Lawrence S</creator><general>Massachusetts Medical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20051117</creationdate><title>Case 23-2005: A Man with a Mass in the Liver</title><author>Hawkins, Maria A ; Dawson, Laura A ; Smith, Alastair D ; Morse, Michael A ; Kuo, Paul C ; Gans, Henry ; Tanabe, Kenneth K ; Chung, Raymond T ; Blaszkowsky, Lawrence S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-e0035bf8bfb66f94a422eff25e0f18637c7ffe47be84a3dad6b6d4a972a105b03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Carcinoma, Hepatocellular - radiotherapy</topic><topic>Humans</topic><topic>Liver Neoplasms - radiotherapy</topic><topic>Male</topic><topic>Radiotherapy, Conformal</topic><topic>Survival Rate</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hawkins, Maria A</creatorcontrib><creatorcontrib>Dawson, Laura A</creatorcontrib><creatorcontrib>Smith, Alastair D</creatorcontrib><creatorcontrib>Morse, Michael A</creatorcontrib><creatorcontrib>Kuo, Paul C</creatorcontrib><creatorcontrib>Gans, Henry</creatorcontrib><creatorcontrib>Tanabe, Kenneth K</creatorcontrib><creatorcontrib>Chung, Raymond T</creatorcontrib><creatorcontrib>Blaszkowsky, Lawrence S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hawkins, Maria A</au><au>Dawson, Laura A</au><au>Smith, Alastair D</au><au>Morse, Michael A</au><au>Kuo, Paul C</au><au>Gans, Henry</au><au>Tanabe, Kenneth K</au><au>Chung, Raymond T</au><au>Blaszkowsky, Lawrence S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Case 23-2005: A Man with a Mass in the Liver</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>2005-11-17</date><risdate>2005</risdate><volume>353</volume><issue>20</issue><spage>2195</spage><epage>2197</epage><pages>2195-2197</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><abstract>To the Editor:
Tanabe et al. (July 28 issue)
1
provide an excellent example of the multidisciplinary decision making required in the case of a typical patient with hepatocellular carcinoma. Although radioactive yttrium-90 microspheres delivered through the hepatic artery were discussed as a treatment option, external-beam radiation was not. Historically, radiation therapy has played a minor role in the treatment of hepatocellular carcinoma, primarily because of the low tolerance of the whole liver to radiation. However, technological advances in tumor imaging, conformal-radiation planning, and radiation delivery have facilitated the safe use of high-dose radiotherapy for focal hepatocellular carcinomas, including tumors unsuitable . . .</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>16291994</pmid><doi>10.1056/NEJM200511173532019</doi><tpages>3</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0028-4793 |
| ispartof | The New England journal of medicine, 2005-11, Vol.353 (20), p.2195-2197 |
| issn | 0028-4793 1533-4406 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; New England Journal of Medicine |
| subjects | Carcinoma, Hepatocellular - radiotherapy Humans Liver Neoplasms - radiotherapy Male Radiotherapy, Conformal Survival Rate |
| title | Case 23-2005: A Man with a Mass in the Liver |
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