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Treatment of Graves' ophthalmopathy with an in-house Phosphorus-32 source: Initial clinical observations
The objective of the present study was to observe the therapeutic effect of radiation delivered via a (32)P source on Graves' ophthalmopathy. A(32)P solution was injected into a 10-ml vacuum flask held inside a lead container. A window was cut in the lead, generating a treatment beam. Radiation...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
D.A. Spandidos
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5613199/ https://www.ncbi.nlm.nih.gov/pubmed/28966670 http://dx.doi.org/10.3892/etm.2017.4911 |
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author | Hao, Hai-Tao Wang, Yujun Wang, Xufu Luan, Sha Cui, Jianhua Chen, Yu Cui, Ya-Li |
author_facet | Hao, Hai-Tao Wang, Yujun Wang, Xufu Luan, Sha Cui, Jianhua Chen, Yu Cui, Ya-Li |
author_sort | Hao, Hai-Tao |
collection | PubMed |
description | The objective of the present study was to observe the therapeutic effect of radiation delivered via a (32)P source on Graves' ophthalmopathy. A(32)P solution was injected into a 10-ml vacuum flask held inside a lead container. A window was cut in the lead, generating a treatment beam. Radiation was given to four areas: The upper and lower orbit (covering ~1/3 of the eyelid) and the inner and outer canthus. Each site received 10 daily doses of 20 cGy. Proptosis was measured by an exophthalmometer and the palpebral aperture was determined with a ruler. Measurements were taken before and after the treatment. After 5 days of treatment, the patient displayed a significant improvement, and by 10 days, the average reduction of proptosis in Graves' ophthalmopathy was 3.36±1.73 mm for the left and 3.05±2.04 mm for the right eyes. The treatment was effective in all patients, who uniformly reported rapid pain relief. Conjunctival congestion and eyelid edema also improved significantly. However, only 50% of patients showed improved diplopia after treatment, which was poor compared with other symptoms. No obvious side effects were found in the subsequent follow-up. In conclusion, (32)P brachytherapy for Graves' ophthalmopathy was simple and effective, with few side effects, and should be considered as a promising therapy. |
format | Online Article Text |
id | pubmed-5613199 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | D.A. Spandidos |
record_format | MEDLINE/PubMed |
spelling | pubmed-56131992017-09-29 Treatment of Graves' ophthalmopathy with an in-house Phosphorus-32 source: Initial clinical observations Hao, Hai-Tao Wang, Yujun Wang, Xufu Luan, Sha Cui, Jianhua Chen, Yu Cui, Ya-Li Exp Ther Med Articles The objective of the present study was to observe the therapeutic effect of radiation delivered via a (32)P source on Graves' ophthalmopathy. A(32)P solution was injected into a 10-ml vacuum flask held inside a lead container. A window was cut in the lead, generating a treatment beam. Radiation was given to four areas: The upper and lower orbit (covering ~1/3 of the eyelid) and the inner and outer canthus. Each site received 10 daily doses of 20 cGy. Proptosis was measured by an exophthalmometer and the palpebral aperture was determined with a ruler. Measurements were taken before and after the treatment. After 5 days of treatment, the patient displayed a significant improvement, and by 10 days, the average reduction of proptosis in Graves' ophthalmopathy was 3.36±1.73 mm for the left and 3.05±2.04 mm for the right eyes. The treatment was effective in all patients, who uniformly reported rapid pain relief. Conjunctival congestion and eyelid edema also improved significantly. However, only 50% of patients showed improved diplopia after treatment, which was poor compared with other symptoms. No obvious side effects were found in the subsequent follow-up. In conclusion, (32)P brachytherapy for Graves' ophthalmopathy was simple and effective, with few side effects, and should be considered as a promising therapy. D.A. Spandidos 2017-10 2017-08-09 /pmc/articles/PMC5613199/ /pubmed/28966670 http://dx.doi.org/10.3892/etm.2017.4911 Text en Copyright: © Hao et al. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/4.0/) , which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. |
spellingShingle | Articles Hao, Hai-Tao Wang, Yujun Wang, Xufu Luan, Sha Cui, Jianhua Chen, Yu Cui, Ya-Li Treatment of Graves' ophthalmopathy with an in-house Phosphorus-32 source: Initial clinical observations |
title | Treatment of Graves' ophthalmopathy with an in-house Phosphorus-32 source: Initial clinical observations |
title_full | Treatment of Graves' ophthalmopathy with an in-house Phosphorus-32 source: Initial clinical observations |
title_fullStr | Treatment of Graves' ophthalmopathy with an in-house Phosphorus-32 source: Initial clinical observations |
title_full_unstemmed | Treatment of Graves' ophthalmopathy with an in-house Phosphorus-32 source: Initial clinical observations |
title_short | Treatment of Graves' ophthalmopathy with an in-house Phosphorus-32 source: Initial clinical observations |
title_sort | treatment of graves' ophthalmopathy with an in-house phosphorus-32 source: initial clinical observations |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5613199/ https://www.ncbi.nlm.nih.gov/pubmed/28966670 http://dx.doi.org/10.3892/etm.2017.4911 |
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