China Journal of Oral and Maxillofacial Surgery ›› 2017, Vol. 15 ›› Issue (2): 142-146.doi: 10.19438/j.cjoms.2017.02.009

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Therapeutic effect of individualized template-guided 125I seed implants for unresectable malignant salivary gland tumors

ZHENG Hao1, YANG Xu-dong1, Meng Jian2   

  1. 1.Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital. Nanjing 210008;
    2.Department of Stomatology, The Affiliated Xuzhou Hospital of Medical College of Southeast University. Xuzhou 221009, Jiangsu Province, China
  • Received:2016-03-09 Online:2017-03-20 Published:2017-04-13
  • Contact: 国家自然科学基金(81371168); 上海市科学技术委员科研计划项目(14DZ2294300)

Abstract: PURPOSE : To evaluate the short-term effect of individualized template guided 125I seed implants for advanced unresectable malignant salivary gland tumors, and explore its superiority. METHODS : Fourteen patients with histologically documented advanced unresectable malignant salivary gland tumors were treated by radioactive 125I seeds interstitial implantation under the aid of individualized template guide. The treatment response, distribution of seeds, local control rate and survival rate were evaluated and the adverse events observed. RUSULTS: The actuarial median number of 125I seeds treated was 43, and actuarial median D90,V100,V150 was 186.2 Gy, 98.2%, 43.4%, respectively; The average radiation dose received by the eyes and brain was 3.2 Gy, 32.5 Gy, respectively; The overall response rate was 78.3%. The patients were followed up for 15 to 28 months (median 23 months). The local control rate was 78.6%, and overall survival rate was 78.6%. No serious side radiotherapeutic effect was observed. CONCLUSION S: The method of individualized template-guided 125I seed implants for advanced unresectable malignant salivary gland tumors is feasible, minimally invasive, safe and easy to operate, which can be widely used in clinical practice.

Key words: Head and neck neoplasms, Adenogenous malignant tumor, 125I seeds, Individualized template, Brachytherapy

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