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Radiation-induced Myositis after Proton Beam Therapy to Huge Hepatocellular Carcinoma

대한간암학회지 2019년 19권 2호 p.136 ~ 142
 ( Kim Ji-Hye ) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Medicine

 ( Yoo Gyu-Sang ) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Radiation Oncology
 ( Sinn Dong-Hyun ) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Medicine
 ( Park Hee-Chul ) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Radiation Oncology
 ( Koh Kwang-Cheol ) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Medicine

Abstract


Proton beam therapy (PBT) is one of the advances in radiotherapy techniques, which enables dose escalation with lower probability of radiation-induced liver or gastrointestinal injuries. However, the chest wall proximal to the tumor can be affected by high dose irradiation. Here, we report on a 58-year-old male patient who presented with huge hepatocellular carcinoma, received treatment with transarterial chemoembolization and PBT, and developed severe chest wall pain due to radiation-induced myositis. The patient’s symptoms were controlled by oral steroids.

키워드

Proton beam therapy; Myositis; Hepatocellular carcinoma; Sorafenib; Radiation recall phenomenon
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