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경부임파선 전이가 동반된 폐암환자에서 초음파 유도 하 알코올 주입술의 효과
박진희,옥철호,장태원,전만홍 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.4
Background: Percutaneous ethanol injection therapy(PEIT) has been infrequently tried to treat hepatic tumors, thyroid tumors, renal tumors. We adopted this technique for treating locally recurrent lung cancer. The object of this study is to evaluate the local therapeutic efficacy, side effects of ethanol injection for treating locally neck node metastasis of lung cancer. Materials and Methods: Between May 2006 and october 2006, 20 lung cancer patients(17 males and 3 females) with 35 histologically proven symptomatic neck node metastatic lesions underwent sonography guided PEIT(US-PEIT) under local anesthesia . We analyzed relation between PEIT and size, the amount of pain. The amount of pain that patients feel was evaluated by VAS(Visual Analogue Scale). Result: A significant decrease of tumor size was observed in 19 lesions. The mean pre-injection diameter of the lesions was 24.2 mm, and this was decreased to 16.8 mm(p=0.001). The VAS score before injecting ethanol into the lesions was 5±3, this was decreased to 2.5±1.5(p=0.001). Conclusion: US-PEI is a valuable treatment option for patients with symptomatic cervical nodal metastases from advanced lung cancer who are not amenable to further therapy.
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