Definitive RaDiotheRapy foR aneuRysmal Bone Cyst of the

以確切性放射線治療於腰椎骨的動脈瘤樣骨囊腫–

朱銘祥(Ming-Hsiang Chu) ； 許文林(Wen-Lin Hsu) ； 夏錫生(Hsi-Sheng Chsia) ； 劉岱瑋(Dai-Wei Liu) ； 王慈慧(Tzu-Hwei Wang) ； 蘇怡如(Yi-Ju Su) ； 王聿農(Yu-Nong Wang)

《放射治療與腫瘤學》 14卷2期 (2007/06) Pp. 123-130

https://doi.org/10.6316/TRO/200714(2)123

摘要

Aneurysmal bone cysts (ABC) are rare, with a benign process, and usually found in children and young adults. Radical surgery was still the main modality of curative treatment. Radiotherapy (RT) has been used as an alternative if an adequate surgical procedure would result in significant morbidity or poor cosmetic results (such as vertebral lesions). In this paper, we present the case in which a huge ABC in the lumbar vertebra
was treated with definitive RT. Images after RT demonstrated a relatively satisfactory response after radiation therapy. The patient had an obvious improvement in neurologic complaints without severe complications in the short-term observation. Furthermore, the role of RT in ABC could be discussed based on our experience and literature review.

並列摘要

動脈瘤樣骨囊腫是一種稀有的疾病， 通常以良性發展的病程表現， 經常好發於兒童和少年。
根治性手術仍是現今主要的治癒性療法。若是適切的手術會造成了顯著的疾病傷害或不良的外觀變化（ 如椎骨部位）， 放射線治療常被當作一種替代性療法。在本篇論文中， 我們提出了一個病例以確切性放射線治療於腰椎骨的巨大動脈瘤樣骨囊腫。放療後的後續影像學追蹤證實了相對令人滿意的腫瘤治療反應。短期的追蹤觀察期裡， 病人也獲得明顯的神經學不適的改善且無嚴重的放療後副作用。再者， 基於此臨床經驗及文獻回顧， 我們更可闡明放射線治療於動脈瘤樣骨囊腫的治療角色。