Radiotherapy is a highly efficacious means of pain alleviation in tennis elbow, but the results are better for pain at rest than on exercise. The Thompson hand-grip and chair test, positive in more than 90% of patients, proved to be reliable criteria to assess the indications for radiotherapy and its results.
We present a case of a 3 8/12 years old boy with histologically proved medulloblastoma. Preoperatively a tumor of the parotid gland was diagnosed, exstirpated and interpreted as a metastasis of medulloblastoma. Therefore the opinion seems to be questionable, that extracranial metastases of medulloblastomas only occur after injury of the dura mater (operation, shunt).
We present the case of a 24-year old man in whose testis echographic criteria of a teratocarcinoma were evident. Histologically the tumour was identified as a chorionic epithelioma.
We present the case of a female patient in whom we found echographically an area of poor response in the head of the pancreas. This area showed criteria of malignancy and appeared like a tumour. The following ERP identified the tumour as a diverticulum of the duodenum.
In patients with breast-conserving surgery of carcinoma and radiotherapy pain rarely is an issue between patient and physician because the operation is considered to be well tolerable and radiotherapy to have few side- effects. There are very few data about frequency and management of pain in these patients. Therefore we evaluated a group of 180 patients after breast-conserving surgery during radiotherapy using a new Likert-scaled questionnaire. Data on the following items were collected: number of patients experiencing pain, pain attribution, frequency and intensity of pain, subjective evaluation and restriction in daily routine. Furthermore, we evaluated the side effects of radiation in an RTOG scale. 85% of patients had pain during radiation which by most was attributed to cancer treatment (surgery and radiation). More than 50% reported light to moderate pain during the entire six-week treatment. Thus pain is a more common symptom in breast cancer patients during radiation therapy than normally assumed and therefore should receive more attention by gynecologists and radiotherapists.
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