Radiation therapy for carcinoma of the prostate: the experience with small intestine injury

Journal Article · Sun Jan 01 04:00:00 UTC 1978 · Int. J. Radiat. Oncol., Biol. Phys.; (United States)

DOI:https://doi.org/10.1016/0360-3016(78)90020-2· OSTI ID:6776354

Green, N ^[1]; Melbye, R W; Iba, G; Kussin, L

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1. Univ. of Southern California Medical Center, Los Angeles

Between 1975 and 1977, 74 patients had roentgenographic studies of the small intestine to determine the anatomic relationship of the small intestine to the pelvic portal and to the booster portal. Digital examination, contrast cystography, and ultrasound B scans were used to delineate the prostate carcinoma. The small intestine was observed to be at the level of the superior extent of the prostate carcinoma in 19 patients and overlapped the prostate carcinoma in 10 patients. Booster portal size was determined by consideration for tumor control, cure, and complication. Therapeutic efforts to reduce tumor size prior to booster irradiation included hormone therapy and whole pelvic irradiation. A shrinking field could then be used in patients at risk for small intestine injury. Recognition of the relative position of the terminal ileum to the pelvic portal was important for patients who undergo surgery after irradiation. Inadvertent injury can be avoided. Since initiation of this study no patient has developed small intestine injury. Tumor control rates remain constant.

• OSTI ID: 6776354
• Journal Information: Int. J. Radiat. Oncol., Biol. Phys.; (United States), Journal Name: Int. J. Radiat. Oncol., Biol. Phys.; (United States) Vol. 4:11/12; ISSN IOBPD
• Country of Publication: United States
• Language: English

Related Subjects

560151* -- Radiation Effects on Animals-- Man
63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
BIOLOGICAL EFFECTS
BIOLOGICAL RADIATION EFFECTS
BIOMEDICAL RADIOGRAPHY
BODY
BODY AREAS
CARCINOMAS
DIAGNOSTIC TECHNIQUES
DIGESTIVE SYSTEM
DISEASES
ELECTROMAGNETIC RADIATION
EXTERNAL IRRADIATION
GASTROINTESTINAL TRACT
GLANDS
INJURIES
INTESTINES
IONIZING RADIATIONS
IRRADIATION
IRRADIATION PROCEDURES
MALE GENITALS
MEDICAL EXAMINATIONS
MEDICINE
NEOPLASMS
NUCLEAR MEDICINE
ORGANS
PARTIAL BODY IRRADIATION
PATIENTS
PELVIS
PLANNING
PROSTATE
RADIATION EFFECTS
RADIATION INJURIES
RADIATIONS
RADIOLOGY
RADIOTHERAPY
RISK ASSESSMENT
SIDE EFFECTS
SMALL INTESTINE
THERAPY
ULTRASONOGRAPHY
X RADIATION