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放射線治療 후 全身的症勢의 發現을 나타낸 Midline Malignant Reticulosis 患者群에 對한 再考
金貴彦(G.E.Kim),徐昌玉(C.O.Suh),金炳洙(B.S.Kim),洪元杓(W.P.Hong) 대한방사선종양학회 1984 Radiation Oncology Journal Vol.2 No.1
During a 10 year periods, 42 patients with well-documented Midline Malignant Reticulosis were treated with local irradiation and followed for extended periods of time. 13 cases with systemic manifestation after irradiation illustrate the protean features of this disease. Although it commonly presents in upper airway tracts such as nasal cavity and/or septum, soft palate and palatine tonsil, the lesion may be localized as well as diffuse. 2 cases among them showed systemic relapse on lung, pancreas and scrotum probably from either a multifucal or metastatic deposits. Another 3 cases were associated with systemic diseases such as stomach carcinoma, typhoid enteritis and CNI of fat tissue. Remained cases were diagnosed by clinical or radiological examination. Possibility of close relation to lymphoma with Midline Malignant Reticulosis are also suggested in 1 case. In Midline Malignant Reticulosis, the best results of treatment are obtained in localized lesion of the upper airway treated early with irradiation: A poorer outcome is associated with multifocal systemic involvement, which necessitates a systemic therapy.