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PALLIATIVE
TREATMENT OF ADVANCED RECTAL CANCER USING A COMBINATION OF BRACHYTHERAPY
AND EXTERNAL BEAM RADIOTHERAPY
Erak
M, Babić J, Erak D, Živanović A, Kuzmanović Z.
Institute
of Oncology Sremska Kamenica, Sremska Kamenica, Serbia
and Montenegro
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ABSTRACT
Advanced rectal
cancer is a great clinical problem, with the symptoms of rectal
bleeding, pain, etc., and the fact that local control and survival
rates are poor. A combined treatment of brachytherapy and teletherapy
has been used in the Institute of Oncology Sremska Kamenica since
1984, in order to improve the results of the treatment. Initially,
the intracavitary brachytherapy was provided by manual LDR afterloading
using a rigid design of rectal applicator. However, since 1977,
with the availability of remote afterloading Selectron-LDR/MDR
brachytherapy, a new design of flexible inflatable rectal applicator
has been developed. Further improvements became available in 1989
when miscroSelectropn-HDR was procured in our Institute. This
equipment has the advantage of small diameter interstitial implant
tubes, which made possible the designing of a multi-channel rectal
applicator.
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Keywords:
Advanced colorectal carcinoma, Teletherapy, Brachytherapy |
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