Radioterapia como tratamiento paliativo de la obstrucción biliar tumoral / Radiotherapy as palliative treatment of malignant biliary obstruction
Med. paliat
; 23(4): 202-206, oct.-nov. 2016. ilus
Article
in Spanish
| IBECS
| ID: ibc-156962
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
OBJETIVOS:
La ictericia obstructiva es un síntoma frecuente en los tumores irresecables de la vía biliar. Presentamos un caso clínico con diagnóstico de colangiocarcinoma recurrente con ictericia obstructiva tratada con radioterapia externa. Caso clínico Paciente con diagnóstico de colangiocarcinoma recurrente metastásico que a pesar de la colocación de dos endoprótesis biliares continúa con ictericia y mal estado general. Se decide tratamiento con radioterapia externa paliativa sobre la lesión tumoral que comprime la vía biliar administrando una dosis total de 20Gy en 5 fracciones de 400 cGy. Tras la finalización del tratamiento las cifras de bilirrubina se estabilizan y comienzan a descender de forma progresiva hasta niveles normales, resolviéndose la ictericia y mejorando la calidad de vida del paciente.CONCLUSIONES:
La radioterapia externa puede ser un tratamiento paliativo efectivo para descomprimir la vía biliar y mejorar la sintomatología en pacientes con tumores irresecablesABSTRACT
OBJECTIVES:
Obstructive jaundice is a frequent symptom in unresectable tumours of the bile duct. The case is reported of a patient diagnosed with recurrent cholangiocarcinoma with obstructive jaundice treated with external radiotherapy. Clinical case A 47 year- old male diagnosed with recurrent and metastatic cholangiocarcinoma. Despite placing two biliary stents, the patient continued have high bilirubin levels, jaundice and a poor condition overall. With these findings, the proposed treatment was palliative external radiotherapy over the tumour lesion that compressed the bile duct, with a total dose of 20Gy in 5 fractions of 400 cGy. After completing the treatment, the bilirubin values began to descend gradually to normal levels, the jaundice disappeared and the quality of life of the patient improved.CONCLUSIONS:
External radiotherapy can be an effective palliative treatment to decompress the bile duct and improve the symptoms in patients with unresectable tumours
Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Bile Duct Neoplasms
/
Cholestasis
/
Jaundice, Obstructive
Aspects:
Patient-preference
Limits:
Humans
/
Male
Language:
Spanish
Journal:
Med. paliat
Year:
2016
Document type:
Article
Institution/Affiliation country:
Hospital Infanta Cristina/España