A Radioterapia no Tumor de Ewing

Detalhes bibliográficos
Autor(a) principal: Vieira, Antonio Pinto
Data de Publicação: 2023
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/4261
Resumo: Based on a personal series of 11 cases of Ewing’s sarcoma of bone, all with histological examination, the author discusses its histogenesis and main subjective symptoms e. g. pain, tumor and fever. He also studies the radiologic appearence of the tumor presenting pictures of several cases. The microscopic features are described. The roentgentherapy technics followed in the various cases are related. The tumor dose when the treatment preceded the operation varied between 1.200 to 1.600 r and in cases where it was used solely 3.000 to 4.200 r. In the 10 cases treated ths following results were obtained: of the 7 patients tre»ted by X-Ray, 2 are alive and free from smptoms, one of them with a survival of 5 years and 10 months and the other 10 months only; the other five died with generalised metastases. The 3 cases treated surgically died, the longest survival being 1 year and 3 months. Based on the experience acquired the A. believes that roentgentherapy must be the treatment of choice for these tumors. Surgery would be indicated in the cases of tumors localised in the limbs, when it’s not possible to imobilize the patient during the X-Ray treatment. Surgery would be contraindicated in the tumors localised in other bones.
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spelling A Radioterapia no Tumor de EwingSarcoma de Ewing/radioterapiaSarcoma de Ewing/diagnósticoDiagnóstico por ImagemSarcoma, Ewing/radiotherapySarcoma, Ewing/diagnosisDiagnostic ImagingSarcoma de Ewing/radioterapiaSarcoma de Ewing/diagnósticoDiagnóstico por ImagenBased on a personal series of 11 cases of Ewing’s sarcoma of bone, all with histological examination, the author discusses its histogenesis and main subjective symptoms e. g. pain, tumor and fever. He also studies the radiologic appearence of the tumor presenting pictures of several cases. The microscopic features are described. The roentgentherapy technics followed in the various cases are related. The tumor dose when the treatment preceded the operation varied between 1.200 to 1.600 r and in cases where it was used solely 3.000 to 4.200 r. In the 10 cases treated ths following results were obtained: of the 7 patients tre»ted by X-Ray, 2 are alive and free from smptoms, one of them with a survival of 5 years and 10 months and the other 10 months only; the other five died with generalised metastases. The 3 cases treated surgically died, the longest survival being 1 year and 3 months. Based on the experience acquired the A. believes that roentgentherapy must be the treatment of choice for these tumors. Surgery would be indicated in the cases of tumors localised in the limbs, when it’s not possible to imobilize the patient during the X-Ray treatment. Surgery would be contraindicated in the tumors localised in other bones.O autor teceu considerações em torno do Tumor de Ewing, discorrendo sôbre sua histogênese. Apresentou uma estatística de 11 casos, sendo que todos tiveram confirmação anatomo-patológica. Foi descrita a triade sintomatológica desta enfermidade que consiste em: dôr, tumor e febre. O aspecto raãioãiagnóstico desses tumores foi estudado, assim como foram apresentadas reproduções de radiografias. As caracteristicas anátomo-patológicas do Sarcoma de Ewing foram apresentadas. Técnicas de tratamento pela radioterapia foram descritas. A dose tumor nos casos pré-operatórios variou entre 1.200 a 1.600 r. Nos casos com finalidade curativa oscilou entre 3.000 a 4.200 r. Nos 10 casos tratados, o resultado terapêutico foi o seguinte: dos 7 tratados pela radioterapia, 2 acham-se vivos e livres de sintomas, sendo que 1 já apresenta sobrevida de 5 anos e 10 mêses, e 0 outro apresenta sobrevida de 10 mêses; os 5 restantes faleceram de metástases generalizadas. Os 3 casos tratados pela cirurgia faleceram, sendo que a maior sobrevida obtida foi de 1 ano e 3 mêses. Pela experiência que tivemos com os nossos casos, achamos que a radioterapia deve constituir sempre a terapêutica ideal para tratamento dos tumores de Ewing. A cirurgia só será indicada nos casos em que o tumor se localize nos membros e em que não se consiga hospitalização para imobilização do doente durante o tratamento pela roentgenterapia.INCA2023-10-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/426110.32635/2176-9745.RBC.1950v3n6.4261Revista Brasileira de Cancerologia; Vol. 3 No. 6 (1950): Sept./Dec.; 26-32Revista Brasileira de Cancerologia; Vol. 3 Núm. 6 (1950): sept./dic.; 26-32Revista Brasileira de Cancerologia; v. 3 n. 6 (1950): set./dez.; 26-322176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/4261/3054Copyright (c) 2023 Revista Brasileira de Cancerologiahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessVieira, Antonio Pinto2023-10-17T20:27:21Zoai:rbc.inca.gov.br:article/4261Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2023-10-17T20:27:21Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv A Radioterapia no Tumor de Ewing
title A Radioterapia no Tumor de Ewing
spellingShingle A Radioterapia no Tumor de Ewing
Vieira, Antonio Pinto
Sarcoma de Ewing/radioterapia
Sarcoma de Ewing/diagnóstico
Diagnóstico por Imagem
Sarcoma, Ewing/radiotherapy
Sarcoma, Ewing/diagnosis
Diagnostic Imaging
Sarcoma de Ewing/radioterapia
Sarcoma de Ewing/diagnóstico
Diagnóstico por Imagen
title_short A Radioterapia no Tumor de Ewing
title_full A Radioterapia no Tumor de Ewing
title_fullStr A Radioterapia no Tumor de Ewing
title_full_unstemmed A Radioterapia no Tumor de Ewing
title_sort A Radioterapia no Tumor de Ewing
author Vieira, Antonio Pinto
author_facet Vieira, Antonio Pinto
author_role author
dc.contributor.author.fl_str_mv Vieira, Antonio Pinto
dc.subject.por.fl_str_mv Sarcoma de Ewing/radioterapia
Sarcoma de Ewing/diagnóstico
Diagnóstico por Imagem
Sarcoma, Ewing/radiotherapy
Sarcoma, Ewing/diagnosis
Diagnostic Imaging
Sarcoma de Ewing/radioterapia
Sarcoma de Ewing/diagnóstico
Diagnóstico por Imagen
topic Sarcoma de Ewing/radioterapia
Sarcoma de Ewing/diagnóstico
Diagnóstico por Imagem
Sarcoma, Ewing/radiotherapy
Sarcoma, Ewing/diagnosis
Diagnostic Imaging
Sarcoma de Ewing/radioterapia
Sarcoma de Ewing/diagnóstico
Diagnóstico por Imagen
description Based on a personal series of 11 cases of Ewing’s sarcoma of bone, all with histological examination, the author discusses its histogenesis and main subjective symptoms e. g. pain, tumor and fever. He also studies the radiologic appearence of the tumor presenting pictures of several cases. The microscopic features are described. The roentgentherapy technics followed in the various cases are related. The tumor dose when the treatment preceded the operation varied between 1.200 to 1.600 r and in cases where it was used solely 3.000 to 4.200 r. In the 10 cases treated ths following results were obtained: of the 7 patients tre»ted by X-Ray, 2 are alive and free from smptoms, one of them with a survival of 5 years and 10 months and the other 10 months only; the other five died with generalised metastases. The 3 cases treated surgically died, the longest survival being 1 year and 3 months. Based on the experience acquired the A. believes that roentgentherapy must be the treatment of choice for these tumors. Surgery would be indicated in the cases of tumors localised in the limbs, when it’s not possible to imobilize the patient during the X-Ray treatment. Surgery would be contraindicated in the tumors localised in other bones.
publishDate 2023
dc.date.none.fl_str_mv 2023-10-17
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos, Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/4261
10.32635/2176-9745.RBC.1950v3n6.4261
url https://rbc.inca.gov.br/index.php/revista/article/view/4261
identifier_str_mv 10.32635/2176-9745.RBC.1950v3n6.4261
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/4261/3054
dc.rights.driver.fl_str_mv Copyright (c) 2023 Revista Brasileira de Cancerologia
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Revista Brasileira de Cancerologia
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 3 No. 6 (1950): Sept./Dec.; 26-32
Revista Brasileira de Cancerologia; Vol. 3 Núm. 6 (1950): sept./dic.; 26-32
Revista Brasileira de Cancerologia; v. 3 n. 6 (1950): set./dez.; 26-32
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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