Predoperativno obsevanje medenice po kratkem režimu 5 x 5 Gy pri bolniku s karcinomom danke Pre-operative irradiation of the pelvis with a short regimen of 5x 5 Gy in a patient with rectal carcinoma

prikaz primera

Povzetek

Pri bolnikih z lokalno in/ali regionalno napredovalim karcinomom danke je po trenutno veljavnih smernicah indicirano predoperativno zdravljenje. V prispevku je prikazan klinični primer starejšega bolnika s karcinomom danke v kliničnem stadiju T4 N0 M0, ki je bil zdravljen s predoperativnim obsevanjem medenice po kratkem režimu 5 x 5 Gy, čemur je po šestih tednih sledila abdominoperinealna ekscizija. Ob patološki kompletni remisiji bolnik pooperativne kemoterapije ni prejemal in je bil ob zadnji kontroli, slabo leto in pol po operaciji, brez znakov za ponovitev bolezni.

Abstract (Eng)

In patients with locally and/or regionally advanced rectal carcinoma, the currently applicable guidelines indicate pre-operative treatment. In this study, we present a clinical case of an older patient with stage T4 N0 rectal carcinoma, who was treated with pre-operative irradiation using a short regimen of 5 x 5 Gy, which was followed by abdominoperineal excision six weeks later. With pathological complete remission, the patient did not underwent post-operative chemotherapy and showed no signs of disease recurrence at the last follow-up a year and a half after the the surgery.