Àá½Ã¸¸ ±â´Ù·Á ÁÖ¼¼¿ä. ·ÎµùÁßÀÔ´Ï´Ù.
KMID : 0311120100510040557
Yonsei Medical Journal
2010 Volume.51 No. 4 p.557 ~ p.561
Cesium Implant for Tongue Carcinoma with a Thickness of 1.5 cm or More: Cases Successfully Treated with a Modified Manchester System
Nishioka Takeshi

Shirato Hiroki
Fujino Masaharu
Yamashita Tetsuro
Homma Akihiro
Sato Akira
Notani Kenichi
Ohmori Keiichi
Obinata Kenichi
Nishio Masamichi
Abstract
Purpose: Deciding on treatment carcinoma of the tongue when the tumor has a thickness of 1.5 cm or more is difficult. Surgery often requires wide resection and re-construction, leading to considerable functional impairment. A cesium implant is an attractive option, but according to the Manchester System, a two plane implant is needed.

Materials and Methods: According to the textbook, a tumor is sandwiched between the needles, which are implanted at the edge of the tumor. This may cause an unnecessarily high dose to the outer surface of the tongue, which sometimes leads to a persistent ulcer. To avoid this complication, we invented a modified implantation method, and applied the method to five consecutive patients.

Results: With a minimum follow-up of 2 years, all primary tumors in 5 consecutive patients have been controlled. No complications occurred in soft tissue of the tongue or in the mandible.

Conclusion: Our modified Manchester System was feasible and effective for tumors that has a thickness of 1.5 cm or more.
KEYWORD
Carcinoma of the tongue, brachytherapy, cesium, neck dissection
FullTexts / Linksout information
  
Listed journal information
SCI(E) MEDLINE ÇмúÁøÈïÀç´Ü(KCI) KoreaMed