https://scholars.lib.ntu.edu.tw/handle/123456789/537933
標題: | Complete response of myeloid sarcoma with cardiac involvement to radiotherapy | 作者: | WEN-CHI YANG MING YAO YU-HSUAN CHEN SUNG-HSIN KUO |
公開日期: | 2016 | 出版社: | Pioneer Bioscience Publishing | 卷: | 8 | 期: | 6 | 起(迄)頁: | 1323-1328 | 來源出版物: | Journal of Thoracic Disease | 摘要: | We present a rare case of intracardiac myeloid sarcoma (MS) of acute myeloid leukemia (AML) and who responds completely well to low-dose radiotherapy. This 19-year-old young man initially presented with AML and received standard chemotherapy followed by allogeneic hematopoietic stem cell transplantation (HSCT). However, he developed intracardiac isolated MS relapse with the presentation of exertional dyspnea and superior vena cava (SVC) syndrome 3 years later. He then received radiotherapy with 24 Gy at a 12 daily fractions using forward "field in field" intensity modulated radiotherapy technique. He dramatically had improved clinical symptoms, and complete remission was achieved one month after completing radiotherapy. Our result is in line with anecdotal case reports showed that radiotherapy with 15 Gy in 10 fractions or with 24 Gy in 12 fractions resulted in good response and less toxicity of 2 cases of MS with cardiac involvement. These results indicate that a modest radiotherapy dose, 24 Gy, achieves good local control of MS with cardiac involvement. ? Journal of Thoracic Disease. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84971659663&doi=10.21037%2fjtd.2016.04.47&partnerID=40&md5=a1ac4a76bb48327017be631e226c50b3 https://scholars.lib.ntu.edu.tw/handle/123456789/537933 |
ISSN: | 2072-1439 | DOI: | 10.21037/jtd.2016.04.47 | SDG/關鍵字: | CD34 antigen; cyclosporin; cytarabine; etoposide; fludarabine; granulocyte colony stimulating factor; idarubicin; methotrexate; methylprednisolone; mitoxantrone; myeloperoxidase; stem cell factor receptor; steroid; acute myeloblastic leukemia; adult; allogeneic hematopoietic stem cell transplantation; Article; cancer control; cancer radiotherapy; cancer recurrence; cancer regression; case report; cell infiltration; chest tightness; disease association; donor lymphocyte infusion; drug safety; drug tolerability; dyspnea; eye redness; graft versus host reaction; granulocytic sarcoma; heart disease; histopathology; human; intensity modulated radiation therapy; low energy radiation; lymphadenopathy; male; multiple cycle treatment; neck dissection; nuclear magnetic resonance imaging; outcome assessment; pain; positron emission tomography; radiation response; superior cava vein syndrome; young adult |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。