Intensity modulated conformal radiation therapy for older term efficacy of nasopharyngeal carcinoma.docVIP

 PAGE \* MERGEFORMAT 8 Intensity modulated conformal radiation therapy for older term efficacy of nasopharyngeal carcinoma [Keywords:] nasopharyngeal carcinoma, intensity modulated radiation therapy, conventional radiotherapy Nasopharyngeal carcinoma treated with radiotherapy is currently the first choice, but radiation therapy to kill tumors while radiation in normal tissue or organ damage is inevitable. In recent years studies have shown that intensity modulated conformal radiotherapy (Intensity Modulated Radiation Therapy, IMRT) allows the nose pharynx cancer tumor target dose increase at the same time, reduce the surrounding normal tissues and vital organs by the amount of (1). This paper aims to explore the two radiotherapy treatment of nasopharyngeal cancer efficacy and side effects. 1 Materials and methods 1.1 General Information 62 cases of elderly patients with nasopharyngeal carcinoma, were poorly differentiated squamous cell carcinoma. Selection criteria: all without radiotherapy, chemotherapy, surgery and other special treatment; without distant metastasis, KPS scoregt; = 70. The elderly nasopharyngeal carcinoma patients were randomly divided for the conventional radiotherapy (conventional) group and IMRT (intensity modulated) group. regular group of 31 patients, 21 males and 10 females, aged 40 to 71 years (mean 58 years, of 0 cases, stage in 4 cases, of 13 cases, in 14 cases. IMRT group of 31 patients, 22 males and 9 females, aged 43 to 69 years (mean 57 years, 1 case, 2 cases, of 12 cases, of 16 cases. group sex, age, disease stage was no significant difference between comparable. 1.2 Methods Conventional group first face and neck under the neck joint field + supraclavicular tangential field irradiation, tissue volume DT 36 ~ 40 Gy reduced the time to avoid the spinal cord to both sides of the field before the ear and neck wires wild + wild, wild supraclavicular neck under spinal block increased to DT 50 Gy, ears an