You need JavaScript to view this

Role of radiotherapy in the treatment of granuloma gangraenescens (lethal midline granuloma)

Abstract

The granuloma gangraenescens in the oral, maxillary and facial region is a rare disease. It is a destroying process in the region of palate, nose, paranasal sinuses, cheeks and orbit with characteristic signs of granulomatosis, infection and malignancy. The disease shows often a lethal development with cachexia or sepsis. Besides local inflammations and tumors, the granulomatosis of Wegener, and the so-called necrotizing sialometaplasia are above all to be excluded by differential diagnosis. Five cases are presented in order to describe the diagnostic and therapeutic problems. In literature, the greatest efficacy is attributed to radiotherapy, however, a detailed definition of the most efficient irradiation conditions cannot be given yet because of the small number of cases. Good long-term results or recoveries can be achieved in 75 to 80% of cases by a relatively high radiation dose of 40 to 50 Gy administered within four to five weeks. During the observation time of two to six years, no one of the five patients treated here only by megavoltage therapy showed a recurrence.
Publication Date:
Feb 01, 1984
Product Type:
Journal Article
Reference Number:
FRG-84-07550; EDB-84-111633
Resource Relation:
Journal Name: Strahlentherapie; (Germany, Federal Republic of); Journal Volume: 160:2
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; NEOPLASMS; RADIOTHERAPY; SKULL; EXTERNAL IRRADIATION; GAMMA SOURCES; GANGRENE; IRRADIATION PROCEDURES; PATIENTS; RADIATION DOSES; SURVIVAL TIME; BODY; DISEASES; DOSES; IRRADIATION; MEDICINE; NECROSIS; NUCLEAR MEDICINE; ORGANS; PATHOLOGICAL CHANGES; RADIATION SOURCES; RADIOLOGY; SKELETON; THERAPY; 550603* - Medicine- External Radiation in Therapy- (1980-)
OSTI ID:
6783186
Country of Origin:
Germany
Language:
German
Other Identifying Numbers:
Journal ID: CODEN: STRAA
Submitting Site:
HEDB
Size:
Pages: 81-84
Announcement Date:
Jun 01, 1984

Citation Formats

Sack, H, Horch, H H, Schaefer, H E, and Wustrow, F. Role of radiotherapy in the treatment of granuloma gangraenescens (lethal midline granuloma). Germany: N. p., 1984. Web.
Sack, H, Horch, H H, Schaefer, H E, & Wustrow, F. Role of radiotherapy in the treatment of granuloma gangraenescens (lethal midline granuloma). Germany.
Sack, H, Horch, H H, Schaefer, H E, and Wustrow, F. 1984. "Role of radiotherapy in the treatment of granuloma gangraenescens (lethal midline granuloma)." Germany.
@misc{etde_6783186,
title = {Role of radiotherapy in the treatment of granuloma gangraenescens (lethal midline granuloma)}
author = {Sack, H, Horch, H H, Schaefer, H E, and Wustrow, F}
abstractNote = {The granuloma gangraenescens in the oral, maxillary and facial region is a rare disease. It is a destroying process in the region of palate, nose, paranasal sinuses, cheeks and orbit with characteristic signs of granulomatosis, infection and malignancy. The disease shows often a lethal development with cachexia or sepsis. Besides local inflammations and tumors, the granulomatosis of Wegener, and the so-called necrotizing sialometaplasia are above all to be excluded by differential diagnosis. Five cases are presented in order to describe the diagnostic and therapeutic problems. In literature, the greatest efficacy is attributed to radiotherapy, however, a detailed definition of the most efficient irradiation conditions cannot be given yet because of the small number of cases. Good long-term results or recoveries can be achieved in 75 to 80% of cases by a relatively high radiation dose of 40 to 50 Gy administered within four to five weeks. During the observation time of two to six years, no one of the five patients treated here only by megavoltage therapy showed a recurrence.}
journal = []
volume = {160:2}
journal type = {AC}
place = {Germany}
year = {1984}
month = {Feb}
}