RESUMO
Soon after the discovery of x-rays by W. C. Roentgen in 1895, a publication on fluoroscopy and x-ray pictures/films appeared in the Dutch medical literature in February 1896. The present article reviews the subsequent developments in the field of therapeutic radiology in The Netherlands and, in particular, the evolution of radiation oncology as a distinct medical specialty.
Assuntos
Radioterapia/história , História do Século XIX , História do Século XX , Países Baixos , Sociedades Médicas/históriaRESUMO
Patients with locally advanced disease, considered incurable by conventional therapeutic options, were treated, if possible, with surgical resection, and intra-operative radiotherapy (IORT) with or without external beam radiotherapy (EBRT), with the aim of improving local control of disease. Twelve patients were selected for IORT and eight patients were subsequently submitted to IORT in order to achieve local control. There were no IORT related complications, and local tumor control was achieved in all cases with a median follow-up of 22 months. IORT is a new and experimental treatment modality with a potential advantage over conventional radiotherapy.
Assuntos
Neoplasias/radioterapia , Neoplasias/cirurgia , Adulto , Idoso , Terapia Combinada , Arquitetura de Instituições de Saúde , Feminino , Humanos , Período Intraoperatório , Masculino , Pessoa de Meia-Idade , Salas Cirúrgicas , Projetos Piloto , Radioterapia/métodosRESUMO
A radiotherapy treatment (60Co) of cancer in the head and neck region causes side effects in the skin that postpone the facial prosthetic treatment. The increasing and fading erythema and pigmentation of the skin was investigated with the use of a subtractive colorimeter. This method was verified with photographs scored according to the Oxford scoring system. Fourteen patients were investigated during a period of 24 weeks. The mean colorimetric skin response showed a peak 6 weeks after the onset of irradiation. Six to 7 weeks later, there was no significant difference between the skin color before and after irradiation. At this time the dry desquamation of the skin is healed. From this viewpoint, the color matching procedure for a facial prosthesis may start not earlier than 15 weeks from the onset of irradiation. If a nonirradiated control field in the facial region is present, a color match for the facial prosthesis can be started just after the irradiation period.
