Palliative Radiotherapy Provided Good Pain Relief for Painful Adrenal Metastasis.
Palliative Radiotherapy Provided Good Pain Relief for Painful Adrenal Metastasis.
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DOI：
10.1159/000518778
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发表时间：
2021-09
影响因子：
0.8
通讯作者：
Shirai K
中科院分区：
文献类型：
--
作者：
Endo M;Fukuda Y;Ogawa K;Takahashi S;Nakamura M;Kawahara M;Akahane K;Yamanouchi Y;Hagiwara K;Mori H;Shirai K
转移性肺癌患者常发生肾上腺转移，但很少出现症状。一名 45 岁男性因肺腺癌右肾上腺大转移而出现右腹疼痛，需要使用强效阿片类药物。肿瘤大小为7.3×5.6×8.4厘米。他针对该病变接受了 13 次高达 39 Gy 的姑息放疗 (RT) 治疗，没有出现严重的副作用。放疗后，他的疼痛得到了很好的缓解，不再需要阿片类药物。对大型肾上腺肿瘤进行姑息性放疗可以提供良好的镇痛效果，且无相关毒性。
Adrenal metastases often occur in patients with metastasized lung cancer, but symptoms rarely develop. A 45-year-old man presented with right abdominal pain requiring strong opioids due to large right adrenal metastasis of lung adenocarcinoma. The tumor was 7.3 × 5.6 × 8.4 cm in size. He was treated with palliative radiotherapy (RT) up to 39 Gy in 13 fractions for this lesion without severe adverse effects. After RT, he had good pain relief, and opioids were no longer needed. Palliative RT for a large adrenal tumor can provide a good analgesic effect without relevant toxicity.