Showing papers in "Clinical Oncology in 1992"

TL;DR: It is concluded that washing of the skin should be encouraged in patients undergoing radiotherapy associated with low skin doses.

TL;DR: The unmatched 89Sr group, which had more favourable prognostic factors, had a better outcome with 96% showing improvement in pain and with a median survival of 59 weeks, demonstrating that performance status and extent of disease on bone scan were of overriding importance in determining outcome.

TL;DR: The results of radiotherapy at recurrence suggest that radiotherapy remains an effective treatment modality at the time of recurrence of craniopharyngioma and it may therefore be delayed in situations where immediate radiation is not advisable.

TL;DR: Of a group of 48 patients with advanced head and neck cancer 35 were smoking at the time of diagnosis, but 17 were persuaded to stop, although 7 relapsed later, and the problems which must be overcome if such patients are to cease smoking.

TL;DR: The case of a widely invasive thymoma non-associated with myasthenia gravis which responded only to high doses of corticosteroids is reported.

TL;DR: In this interim analysis, surveillance appears to be a safe alternative to adjuvant radiation therapy provided regular, prolonged follow-up can be ensured, and adjuvant post-orchidectomy radiotherapy should be considered the treatment of choice until further long-term data are available.

TL;DR: A simple cheap method of improving communication by tape recording the initial consultation with oncology outpatients is described and it is revealed that patients and their relatives claimed enormous benefit from the opportunity to hear the consultation again.

TL;DR: It is concluded that long travelling distances, travelling times and treatment waiting times for many patients require revision of transport provision, a strict appointment system, more treatment machines and hostel accommodation.

TL;DR: A 51-year-old man developed back pain and reduced mobility following a standard course of radiotherapy for a Stage I seminoma, and further investigations and operative intervention revealed epidural lipomatosis.

TL;DR: It is shown that experienced radiation oncologists do not adhere to stated case selection criteria and show inconsistencies in their treatment planning for non-small cell carcinoma of the lung.

TL;DR: Younger radiation oncologists (less than 46 years) treated patients with brain metastases with a smaller number of fractions and were more likely to view the case of locally advanced lung cancer as palliative.

TL;DR: Preoperative radiotherapy will usually permit limb conservation of extremity sarcomas which otherwise would be inoperable or require amputation, however, the increased incidence of wound complications in older patients demands meticulous technique.

TL;DR: A retrospective analysis of treatment for endometrial carcinoma from 1987 to 1989 finds no instances of local relapse amongst the 31 patients with minimal myometrial invasion, and vaginal vault recurrence was not observed in patients receiving intracavitary therapy in addition to external beam therapy.

TL;DR: The area under the RT survival curve presented indicates that RT given in 1977 will contribute to 5730 person-years of life at a cost of C$661 per person-year or C$1.82 per person day (little more than the cost of a city bus ride).

TL;DR: Comparison of overall age-standardized rates (ASR) for all cancers revealed a substantially lower value compared to that reported for the USA white population but a similar value to the USA black and UK white populations.

TL;DR: The technique is recommended as initial therapy in unirradiated patients with good bone marrow function and with significant pain above and below the diaphragm, making half-body irradiation less likely to be a useful palliative procedure.

TL;DR: In 3 of the patients with systemic sarcoidosis there was coexisting testicular cancer requiring additional treatment, and the authors advise caution in the interpretation of the clinical and histological findings in these patients, and recommend thorough investigation of all such cases.

TL;DR: Current treatment policy for germinomas attaining complete response to two courses of VEJ is a lowered CSA dose prescription, while non-germinomatous germ cell tumours (NGGCT) receive standard total dose CSA irradiation.

TL;DR: In these age groups, even small doses of radiation should not be given without careful consideration, but fairly low doses carry only a small risk and may be very useful in management.

TL;DR: A prognostic index for patients with inoperable non-small cell lung cancer which could predict survival to 3 months is developed to enable less radiation dose to be given to patients where prognosis is limited by occult metastases, giving rise to less treatment morbidity and raising the therapeutic ratio.

TL;DR: The median postoperative survival of the prophylactic group was 15 months whereas that of the fracture (F) group was 2 months (P P P P ) as mentioned in this paper, indicating that there was a marked difference in survival between these groups.

TL;DR: Radiotherapy alone at a dose of 60 Gy is insufficient to produce durable local control for the majority of women with T4 breast cancer and is concluded that radiotherapy without initial mastectomy or adjuvant chemotherapy is insufficient.

TL;DR: The combined treatment with combined external beam radiotherapy and intracavitary radiation for oesophageal carcinoma is well tolerated, with few complications and provides good palliation.

TL;DR: A case of metastatic malignant melanoma to the shaft of the penis is described and the literature reviewed to collate the incidence of primary sites which metastasize to the penis.

TL;DR: The results of this study support the use of 100-140 KV photons to treat carcinomas of the skin of or around the pinna and an audit of the running cost reveals that this method of treating superficial carcinomas is highly cost effective and can be recommended for all suitable patients.

TL;DR: This simple, but time consuming, technique can achieve major reductions in normal tissue irradiation with potential improvements in limb function and prospective randomized trials must be performed and similar advances in patient immobilization and treatment verification are essential.

TL;DR: The case of a patient with discoid lupus erythematosus who developed a severe skin reaction whilst undergoing mantle irradiation for non-Hodgkin's lymphoma illustrates the need for extreme caution when administering radiotherapy to patients with Discoid or systemic luposus.

TL;DR: A review of 158 cases of metastatic extradural spinal cord compression referred to three radiotherapy departments shows that the median survival time is less than 3 months, that recovery of motor and sphincter function is uncommon, and that low fraction regimens have a similar clinical outcome to more protracted regimens.