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Open Access 01-12-2014 | Case report

Image-guided radiation therapy using surgical clips for localization of colonic metastasis from thyroid cancer

Authors: Alvin Szeto, Lee Chin, Patrick Whelan, Jennifer Wilson, Justin Lee

Published in: Radiation Oncology | Issue 1/2014

Abstract

A 67-year old man with a history of papillary thyroid cancer (PTC) presented with metastatic disease to the left colon in the form of a 6.1x1.0 cm bleeding, ulcerated mass. Radiopaque surgical clips were used as fiducial markers to localize the gross tumor volume (GTV) as well as the corresponding clinical target volume (CTV) and planning target volume (PTV). Daily cone beam computed tomography (CBCT) image guidance was utilized to verify the tumor position. Inter- and intrafraction movement of the tumor mass was assessed. Gastrointestinal bleeding was controlled using palliative image-guided radiation therapy (IGRT).

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Chrisoulidou A, Boudina M, Tzemailas A, Doumala E, Iliadou PK, Patakiouta F, Pazaitou-Panayiotou K: Histological subtype is the most important determinant of survival in metastatic papillary thyroid cancer. Thyroid Res 2011, 4: 12. 10.1186/1756-6614-4-12PubMedCentralCrossRefPubMed

Shaha AR, Ferlito A, Rinaldo A: Distant metastases from thyroid and parathyroid cancer. ORL J Otorhinolaryngol Relat Spec 2001, 63: 243-249. 10.1159/000055749CrossRefPubMed

Klubo-Gwiezdzinska J, Morowitz D, Van Nostrand D, Burman KD, Vasko V, Soberman M, Wartofsky L: Metastases of well-differentiated thyroid cancer to the gastrointestinal system. Thyroid 2010, 20: 381-387. 10.1089/thy.2009.0280CrossRefPubMed

Chung DC, Maher MM, Faquin WC: Case records of the Massachusetts General Hospital: case 37-2006. A 19-year-old woman with thyroid cancer and lower gastrointestinal bleeding. N Engl J Med 2006, 355: 2349-2357. 10.1056/NEJMcpc069028CrossRefPubMed

Meyer-Rochow GY, McMullen TP, Gill AJ, Sywak MS, Robinson BG: Intra-abdominal insular thyroid carcinoma metastasis. Thyroid 2009, 19: 527-530. 10.1089/thy.2009.0019CrossRefPubMed

Arnous W, Beltran S, Berger N, Bournaud C, Lifante JC, Peix JL, Giammarile F, Sassolas G, Borson-Chazot F: Hürthle cell thyroid carcinoma metastatic to the sigmoid colon. Thyroid 2007, 17: 169-173. 10.1089/thy.2006.0210CrossRefPubMed

Song S, Yenice KM, Kopec M, Liauw SL: Image-guided radiotherapy using surgical clips as fiducial markers after prostatectomy: a report of total setup error, required PTV expansion, and dosimetric implications. Radiother Oncol 2012, 103: 270-274. 10.1016/j.radonc.2011.07.024CrossRefPubMed

Engels B, Soete G, Verellen D, Storme G: Conformal arc radiotherapy for prostate cancer: increased biochemical failure in patients with distended rectum on the planning computed tomogram despite image guidance by implanted markers. Int J Radiat Oncol Biol Phys 2009, 74: 388-391. 10.1016/j.ijrobp.2008.08.007CrossRefPubMed

Abbas H, Chang B, Chen ZJ: Motion management in gastrointestinal cancers. J Gastrointest Oncol 2014, 5: 223-235.PubMedCentralPubMed

10.

Kirkbride P, Bezjak A, Pater J, Zee B, Palmer MJ, Wong R, Cross P, Gulavita S, Blood P, Sun A, Dundas G, Ganguly PK, Lim J, Chowdhury AD, Kumar SE, Dar AR: Dexamethasone for the prophylaxis of radiation-induced emesis: a National Cancer Institute of Canada Clinical Trials Group phase III study. J Clin Oncol 2000, 18: 1960-1966.PubMed

11.

Dennis K, Nguyen J, Presutti R, DeAngelis C, Tsao M, Danjoux C, Barnes E, Sahgal A, Holden L, Jon F, Wong S, Chow E: Prophylaxis of radiotherapy-induced nausea and vomiting in the palliative treatment of bone metastases. Support Care Cancer 2012, 20: 1673-1678. 10.1007/s00520-011-1258-xCrossRefPubMed

12.

Feyer PC, Maranzano E, Molassiotis A, Roila F, Clark-Snow RA, Jordan K: Radiotherapy-induced nausea and vomiting (RINV): MASCC/ESMO guideline for antiemetics in radiotherapy: update 2009. Support Care Cancer 2011,19(Suppl 1):S5-S14. 10.1007/s00520-010-0950-6CrossRefPubMed

13.

Baglan KL, Frazier RC, Yan D, Huang RR, Martinez AA, Robertson JM: The dose-volume relationship of acute small bowel toxicity from concurrent 5-FU-based chemotherapy and radiation therapy for rectal cancer. Int J Radiat Oncol Biol Phys 2002, 52: 176-183. 10.1016/S0360-3016(01)01820-XCrossRefPubMed

14.

Robertson JM, Lockman D, Yan D, Wallace M: The dose-volume relationship of small bowel irradiation and acute grade 3 diarrhea during chemoradiotherapy for rectal cancer. Int J Radiat Oncol Biol Phys 2008, 70: 413-418. 10.1016/j.ijrobp.2007.06.066CrossRefPubMed

15.

Kavanagh BD, Pan CC, Dawson LA, Das SK, Li XA, Ten Haken RK, Miften M: Radiation dose-volume effects in the stomach and small bowel. Int J Radiat Oncol Biol Phys 2010,76(3 Suppl):S101-S107. 10.1016/j.ijrobp.2009.05.071CrossRefPubMed

16.

Bissonnette J-P, Franks KN, Purdie TG, Moseley DJ, Sonke J-J, Jaffray DA, Dawson LA, Bezjak A: Quantifying interfraction and intrafraction tumor motion in lung stereotactic body radiotherapy using respiration-correlated cone beam computed tomography. Int J Radiat Oncol Biol Phys 2009, 75: 688-695. 10.1016/j.ijrobp.2008.11.066CrossRefPubMed

17.

Nakamura M, Shibuya K, Shiinoki T, Matsuo Y, Nakamura A, Nakata M, Sawada A, Mizowaki T, Hiraoka M: Positional reproducibility of pancreatic tumors under end-exhalation breath-hold conditions using a visual feedback technique. Int J Radiat Oncol Biol Phys 2011, 79: 1565-1571. 10.1016/j.ijrobp.2010.05.046CrossRefPubMed

18.

Rosewall T, Chung P, Bayley A, Lockwood G, Alasti H, Bristow R, Kong V, Milosevic M, Catton C: A randomized comparison of interfraction and intrafraction prostate motion with and without abdominal compression. Radiother Oncol 2008, 88: 88-94. 10.1016/j.radonc.2008.01.019CrossRefPubMed

19.

Rash D, Hagar Y, Cui J, Hunt J-P, Valicenti R, Mayadev J: Interfraction motion of the vaginal apex during postoperative intensity modulated radiation therapy: are we missing the target? Int J Gynecol Cancer 2013, 23: 385-392. 10.1097/IGC.0b013e3182791f24CrossRefPubMed

20.

Case RB, Moseley DJ, Sonke JJ, Eccles CL, Dinniwell RE, Kim J, Bezjak A, Milosevic M, Brock KK, Dawson LA: Interfraction and intrafraction changes in amplitude of breathing motion in stereotactic liver radiotherapy. Int J Radiat Oncol Biol Phys 2010, 77: 918-925. 10.1016/j.ijrobp.2009.09.008CrossRefPubMed

21.

Della Biancia C, Yorke E, Kollmeier MA: Image guided radiation therapy for bladder cancer: assessment of bladder motion using implanted fiducial markers. Pract Radiat Oncol 2014, 4: 108-115. 10.1016/j.prro.2013.07.008CrossRefPubMed

22.

Van der Horst A, Wognum S, Dávila Fajardo R, de Jong R, van Hooft JE, Fockens P, van Tienhoven G, Bel A: Interfractional position variation of pancreatic tumors quantified using intratumoral fiducial markers and daily cone beam computed tomography. Int J Radiat Oncol Biol Phys 2013, 87: 202-208. 10.1016/j.ijrobp.2013.05.001CrossRefPubMed

23.

Deegan T, Owen R, Holt T, Fielding A, Biggs J, Parfitt M, Coates A, Roberts L: Assessment of cone beam CT registration for prostate radiation therapy: Fiducial marker and soft tissue methods. J Med Imaging Radiat Oncol 2014. . http://www.ncbi.nlm.nih.gov/pubmed/24953244 Deegan T, Owen R, Holt T, Fielding A, Biggs J, Parfitt M, Coates A, Roberts L: Assessment of cone beam CT registration for prostate radiation therapy: Fiducial marker and soft tissue methods.J Med Imaging Radiat Oncol 2014. .

Title: Image-guided radiation therapy using surgical clips for localization of colonic metastasis from thyroid cancer
Authors: Alvin Szeto
Lee Chin
Patrick Whelan
Jennifer Wilson
Justin Lee
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: Radiation Oncology / Issue 1/2014
Electronic ISSN: 1748-717X
DOI: https://doi.org/10.1186/s13014-014-0298-z

At a glance: The STEP trials

Springer Medicine

Image-guided radiation therapy using surgical clips for localization of colonic metastasis from thyroid cancer

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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