Clinical characteristics and outcome of pneumothorax after stereotactic body radiotherapy for lung tumors

Verfasser / Beitragende:
[Kaori Asai, Katsumasa Nakamura, Yoshiyuki Shioyama, Tomonari Sasaki, Yoshio Matsuo, Saiji Ohga, Tadamasa Yoshitake, Kotaro Terashima, Makoto Shinoto, Keiji Matsumoto, Hidenari Hirata, Hiroshi Honda]
Ort, Verlag, Jahr:
2015
Enthalten in:
International Journal of Clinical Oncology, 20/6(2015-12-01), 1117-1121
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10147-015-0833-4  |2 doi 
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245 0 0 |a Clinical characteristics and outcome of pneumothorax after stereotactic body radiotherapy for lung tumors  |h [Elektronische Daten]  |c [Kaori Asai, Katsumasa Nakamura, Yoshiyuki Shioyama, Tomonari Sasaki, Yoshio Matsuo, Saiji Ohga, Tadamasa Yoshitake, Kotaro Terashima, Makoto Shinoto, Keiji Matsumoto, Hidenari Hirata, Hiroshi Honda] 
520 3 |a Backgound: We retrospectively investigated the clinical characteristics and outcome of pneumothorax after stereotactic body radiotherapy (SBRT) for lung tumors. Methods: Between April 2003 and July 2012, 473 patients with lung tumors were treated with SBRT. We identified 12 patients (2.5%) with pneumothorax caused by SBRT, and evaluated the clinical features of pneumothorax. Results: All of the tumors were primary lung cancers. The severity of radiation pneumonitis was grade 1 in 10 patients and grade 2 in two patients. Nine patients had emphysema. The planning target volume and pleura overlapped in 11 patients, and the tumors were attached to the pleura in 7 patients. Rib fractures were observed in three patients before or at the same time as the diagnosis of pneumothorax. The median time to onset of pneumothorax after SBRT was 18.5months (4-84months). The severity of pneumothorax was grade 1 in 11 patients and grade 3 in one patient. Conclusion: Although pneumothorax was a relatively rare late adverse effect after SBRT, some patients demonstrated pneumothorax after SBRT for peripheral lung tumors. Although most pneumothorax was generally tolerable and self-limiting, careful follow-up is needed. 
540 |a Japan Society of Clinical Oncology, 2015 
690 7 |a Pneumothorax  |2 nationallicence 
690 7 |a Stereotactic body radiotherapy  |2 nationallicence 
690 7 |a Lung cancer  |2 nationallicence 
700 1 |a Asai  |D Kaori  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
700 1 |a Nakamura  |D Katsumasa  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
700 1 |a Shioyama  |D Yoshiyuki  |u Ion Beam Therapy Center, SAGA-HIMAT Foundation, Saga, Japan  |4 aut 
700 1 |a Sasaki  |D Tomonari  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
700 1 |a Matsuo  |D Yoshio  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
700 1 |a Ohga  |D Saiji  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
700 1 |a Yoshitake  |D Tadamasa  |u Faculty of Medical Sciences Department of Comprehensive Clinical Oncology, Kyushu University, Fukuoka, Japan  |4 aut 
700 1 |a Terashima  |D Kotaro  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
700 1 |a Shinoto  |D Makoto  |u Ion Beam Therapy Center, SAGA-HIMAT Foundation, Saga, Japan  |4 aut 
700 1 |a Matsumoto  |D Keiji  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
700 1 |a Hirata  |D Hidenari  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
700 1 |a Honda  |D Hiroshi  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
773 0 |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/6(2015-12-01), 1117-1121  |x 1341-9625  |q 20:6<1117  |1 2015  |2 20  |o 10147 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Asai  |D Kaori  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nakamura  |D Katsumasa  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Shioyama  |D Yoshiyuki  |u Ion Beam Therapy Center, SAGA-HIMAT Foundation, Saga, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sasaki  |D Tomonari  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Matsuo  |D Yoshio  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ohga  |D Saiji  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yoshitake  |D Tadamasa  |u Faculty of Medical Sciences Department of Comprehensive Clinical Oncology, Kyushu University, Fukuoka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Terashima  |D Kotaro  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Shinoto  |D Makoto  |u Ion Beam Therapy Center, SAGA-HIMAT Foundation, Saga, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Matsumoto  |D Keiji  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hirata  |D Hidenari  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Honda  |D Hiroshi  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/6(2015-12-01), 1117-1121  |x 1341-9625  |q 20:6<1117  |1 2015  |2 20  |o 10147