Electron Therapy for Periorbital Basal Cell Carcinoma: A Case Report and Review of the Literature

電子射線治療於眼瞼之基底細胞癌之應用：病例報告及文獻探討

劉士華(Shih-Hua Liu) ； 張國華(Kuo-Hua Chang) ； 戴宏旗(Hung-Chi Tai) ； 陳舜鼎(Shun-Ting Chen)

《放射治療與腫瘤學》 14卷3期 (2007/09) Pp. 227-232

https://doi.org/10.6316/TRO/200714(3)227

摘要

眼瞼之基底細胞癌為不常見的皮膚癌症病變。而治療眼瞼基底細胞癌的目標除了腫瘤控制外，治療後的外觀及功能的保留也是很重要的。目前對於眼瞼基底細胞癌之治療方式有許多，但究竟何者為首選方式則未有定論。我們報告了一例77歲的眼瞼基底細胞癌男性患者，單獨以6 MeV電子射線治療腫瘤。病人總共接受了5940 cGy的劑量後，腫瘤消失，並在兩年的追蹤中沒有發現復發或是其他嚴重的眼部併發症。根據我們的經驗及文獻回顧，相較於手術，放射線治療在審慎的篩選病人下是一種安全，簡單，且可以減少住院的治療，其局部控制率及對於外觀，功能的保留亦和手術相近。

關鍵字

基底細胞癌 ； 眼瞼 ； 放射線治療

並列摘要

Basal cell carcinoma (BCC) of the eyelid is a relatively uncommon facial tumor. The goals for treatment are both definitive tumor control and preservation of the functional structures. The roles of radiotherapy and surgery in this regard are controversial. We report a 77-year-old male with a BCC of the eyelid treated by 6 MeV electron beam therapy alone to a total of 5940 cGy in 33 fractions, with an eye shield. The tumor responded well. There was no recurrence or serious ocular complication in 24 months of follow up. With careful patient selection, radiotherapy is a safe, simple alternative to surgery for BCC of the eyelid, yielding good local control and cosmetic results.

並列關鍵字

Basal cell carcinoma ； Eyelid ； Radiotherapy