Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
|
pubmed:dateCreated |
1994-8-1
|
pubmed:abstractText |
An overview of the University of Washington neutron radiotherapy facility is presented. The utility of the multi-leaf, programmable, variable collimator is emphasized. Due to success in the treatment of salivary gland tumors, such patients comprise an ever increasing portion of the patients being treated. A cooperative randomized clinical trial for the treatment of salivary gland tumors was undertaken comparing fast neutrons against photon/electron radiation. At ten years, there was a statistically significant improvement in local/regional control for the neutron group (56% vs 25%, p = 0.009), but there was no improvement in survival (15% vs 25%, p = n.s.). Distant metastases were the primary reason for the failure of improved local/regional control to impact survival in the neutron group. The University of Washington experience is summarized with special emphasis on the treatment of adenoid cystic carcinomas. Excellent local/regional control can be achieved with neutrons even for large tumors arising in the paranasal sinuses. We conclude that the potential morbidity of a surgical debulking procedure is not warranted in most clinical situations.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
|
pubmed:issn |
0284-186X
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
33
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
275-80
|
pubmed:dateRevised |
2009-5-12
|
pubmed:meshHeading |
pubmed-meshheading:8018355-Adult,
pubmed-meshheading:8018355-Aged,
pubmed-meshheading:8018355-Carcinoma, Adenoid Cystic,
pubmed-meshheading:8018355-Fast Neutrons,
pubmed-meshheading:8018355-Great Britain,
pubmed-meshheading:8018355-Humans,
pubmed-meshheading:8018355-Middle Aged,
pubmed-meshheading:8018355-Paranasal Sinus Neoplasms,
pubmed-meshheading:8018355-Prospective Studies,
pubmed-meshheading:8018355-Radiology Department, Hospital,
pubmed-meshheading:8018355-Radiotherapy Dosage,
pubmed-meshheading:8018355-Salivary Gland Neoplasms,
pubmed-meshheading:8018355-Universities,
pubmed-meshheading:8018355-Washington
|
pubmed:year |
1994
|
pubmed:articleTitle |
Fast neutron radiotherapy. The University of Washington experience.
|
pubmed:affiliation |
Department of Radiation Oncology, University of Washington Medical Center, Seattle 98195.
|
pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Multicenter Study
|