日本レーザー医学会誌
Online ISSN : 1881-1639
Print ISSN : 0288-6200
ISSN-L : 0288-6200
肝癌に対する超音波映像下ヤグレーザー深部照射療法
橋本 大定三浦 健出月 康夫金井 宏之吉村 敬三杉浦 敏文辻 隆之戸川 達男
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1985 年 5 巻 3 号 p. 191-196

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A special quartz fiber with the tip finished in a hemispherical shape was prepared for super-wide diffusing radiation of laser beam. Under ultrasonic imaging, cubic volume of the tumor was calculated, the quartz fiber was inserted into the tumor through a 17G Tefron catheter, and continuous 5W radiation was applied for such a period as to reach the total energy of 1000 joules per one cubic centimeter of tumor. Two cases with 3 and 5cm hepatocellular carcinomas with liver cirrhosis and 8 cases of multiple liver metastasis maximum 12cm were treated under laparotomy in most cases. Dramatic drop of AFP and CEA values was observed in a few months. Post operative courses were satisfactory without hapatic dysfunction.

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