Radiotherapy for nasolacrimal tract epithelial cancer

Purpose :Tumors of the lacrimal sac are rare and have traditionally been treated surgically. We investigated the use of irradiation for treatment. Methods and Materials : Three consecutive patients with primary epithelial cancer of the nasolacrimal apparatus were treated with irradiation. A tumor do...

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Veröffentlicht in:International journal of radiation oncology, biology, physics biology, physics, 1994-04, Vol.29 (1), p.177-181
Hauptverfasser: Sagerman, Robert H., Fariss, Anna K., Chung, Chung T., King, Gerald A., Yuo, Hae Sook, Fries, Peter D.
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container_end_page 181
container_issue 1
container_start_page 177
container_title International journal of radiation oncology, biology, physics
container_volume 29
creator Sagerman, Robert H.
Fariss, Anna K.
Chung, Chung T.
King, Gerald A.
Yuo, Hae Sook
Fries, Peter D.
description Purpose :Tumors of the lacrimal sac are rare and have traditionally been treated surgically. We investigated the use of irradiation for treatment. Methods and Materials : Three consecutive patients with primary epithelial cancer of the nasolacrimal apparatus were treated with irradiation. A tumor dose of 52–66 Gy was delivered with conventional fractionation to fields limited to the primary site and immediately surrounding tissues. Results : Local tumor control was achieved in all three patients. Two patients subsequently developed metastatic cervical adenopathy; both were controlled with irradiation to the neck. One of these two died of distant metastases. Two patients are alive and well at 13 years and at 26 months. Conclusion : We conclude that epithelial lacrimal sac tumors are controllable by radiation therapy and with a good cosmetic result. Poorly differentiated lesions require elective cervical nodal irradiation.
doi_str_mv 10.1016/0360-3016(94)90241-0
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We investigated the use of irradiation for treatment. Methods and Materials : Three consecutive patients with primary epithelial cancer of the nasolacrimal apparatus were treated with irradiation. A tumor dose of 52–66 Gy was delivered with conventional fractionation to fields limited to the primary site and immediately surrounding tissues. Results : Local tumor control was achieved in all three patients. Two patients subsequently developed metastatic cervical adenopathy; both were controlled with irradiation to the neck. One of these two died of distant metastases. Two patients are alive and well at 13 years and at 26 months. Conclusion : We conclude that epithelial lacrimal sac tumors are controllable by radiation therapy and with a good cosmetic result. 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subjects Biological and medical sciences
Carcinoma - radiotherapy
Diseases of the eye
Epithelial cancer of the eye
Epithelium
Female
Humans
Lacrimal Apparatus Diseases - radiotherapy
Lacrimal cancer
Male
Medical sciences
Melanoma - radiotherapy
Middle Aged
Nasolacrimal sac cancer
Nose Neoplasms - radiotherapy
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Tomography, X-Ray Computed
title Radiotherapy for nasolacrimal tract epithelial cancer
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