Đánh giá kết quả xạ trị ung thư amydale bằng kỹ thuật xạ trị điều biến liều tại Bệnh Viện Trung Ương Huế

Abstract

Introduction: In this study, the authors present the results in application of IMRT technique for tonsil cancer at Hue central hospital. Materials and methods: Prospective study and retrospective study on 31 patients with tonsil cancer from March 2015 to May 2020 by IMRT technique. Mean age was 62,32 ± 14,31 years old (range: 40-92 years old), 80.6% were male. Results: The predominant T and N stage was T3 (90,3%), N1 (58,1%) and N2 (25,8%), and well and moderate histological differentiation of the tumor were 81,7%.The predominant stages were III and IVA stages (96.8%). The rate of tumour recurrence was3.2% after 6 months treatment, 14.3% after 12 months treatment, 16.7% after 24 months treatment.The rate of lymph node recurrence was3.2% after 6 months treatment, 9.5% after 12 months treatment, 22.2% after 24 months treatment.The rate of metastatic was 16.7% after 24 months treatment. Grade 2 mucositis occurred in 54.8% of patients due to treatment.Grade 3 mucositis occurred in 32.3% of patients due to treatment.Normal xerostomia was revealed in 14.3% of patients after 12 months treatment, 27.8% of patients after 24 months treatment, 41.7% of patients after 36 months treatment. Conclusions: The results indicate that IMRT technique provides satisfactory results and should be applicated in treatment of tonsil cancer.