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1.
Ned Tijdschr Geneeskd ; 1642020 07 16.
Artigo em Holandês | MEDLINE | ID: mdl-32779918

RESUMO

Salivary gland cancer is a malignancy that arises in the head and neck area. It is not only rare but its clinical course is also very heterogeneous. A total of 22 different subtypes can be distinguished, the symptoms, treatment and prognosis of which may differ greatly. This means that both the diagnosis and treatment of the disease are prone to error. This is illustrated by two cases: a 62-year-old man with a salivary duct carcinoma, and a 56-year-old man with an adenoid cystic carcinoma. These cases are used to illustrate the advances that have been made in the treatment of salivary gland cancer.


Assuntos
Carcinoma Adenoide Cístico/patologia , Carcinoma/patologia , Neoplasias das Glândulas Salivares/patologia , Carcinoma/terapia , Carcinoma Adenoide Cístico/terapia , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Neoplasias das Glândulas Salivares/terapia , Glândulas Salivares/patologia
2.
Strahlenther Onkol ; 193(12): 1077-1078, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-29080045

RESUMO

Correction to: Strahlenther Onkol 2017 https://doi.org/10.1007/s00066-017-1187-9 Unfortunately, parts of the 'Materials and Methods section' and a sentence in the 'Discussion section' had to be corrected.On page 3, left column, the complete first paragraph was corrected and now reads as follows:Auto-P.

3.
Strahlenther Onkol ; 193(12): 1031-1038, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28770294

RESUMO

PURPOSE: This study evaluates the performance and planning efficacy of the Auto-Planning (AP) module in the clinical version of Pinnacle 9.10 (Philips Radiation Oncology Systems, Fitchburg, WI, USA). METHODS AND MATERIALS: Twenty automated intensity-modulated radiotherapy (IMRT) plans were compared with the original manually planned clinical IMRT plans from patients with oropharyngeal cancer. RESULTS: Auto-Planning with IMRT offers similar coverage of the planning target volume as the original manually planned clinical plans, as well as better sparing of the contralateral parotid gland, contralateral submandibular gland, larynx, mandible, and brainstem. The mean dose of the contralateral parotid gland and contralateral submandibular gland could be reduced by 2.5 Gy and 1.7 Gy on average. The number of monitor units was reduced with an average of 143.9 (18%). Hands-on planning time was reduced from 1.5-3 h to less than 1 h. CONCLUSIONS: The Auto-Planning module was able to produce clinically acceptable head and neck IMRT plans with consistent quality.


Assuntos
Órgãos em Risco/efeitos da radiação , Neoplasias Orofaríngeas/patologia , Neoplasias Orofaríngeas/radioterapia , Planejamento da Radioterapia Assistida por Computador/métodos , Radioterapia Conformacional/métodos , Software , Humanos , Tratamentos com Preservação do Órgão , Exposição à Radiação/análise , Dosagem Radioterapêutica , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Resultado do Tratamento
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