Skip to main content
Erschienen in: Strahlentherapie und Onkologie 6/2013

01.06.2013 | Original article

125I brachytherapy alone for recurrent or locally advanced adenoid cystic carcinoma of the oral and maxillofacial region

verfasst von: M.-W. Huang, PhD, L. Zheng, PhD, S.-M. Liu, PhD, Y. Shi, PhD, J. Zhang, PhD, G.-Y. Yu, PhD, Prof. Dr. J.-G. Zhang, B.S.Med

Erschienen in: Strahlentherapie und Onkologie | Ausgabe 6/2013

Einloggen, um Zugang zu erhalten

Abstract

Background and purpose

This retrospective study was to evaluate the local control and survival of 125I brachytherapy for recurrent and/or locally advanced adenoid cystic carcinoma (ACC) of the oral and maxillofacial region.

Patients and methods

A total of 38 patients with recurrent and/or locally advanced ACC of the oral and maxillofacial region received 125I brachytherapy alone from 2001–2010. Twenty-nine were recurrent cases following previous surgery and radiation therapy. The other 9 cases involved primary tumors. Overall, 12 tumors were located in the major salivary glands, 12 in the minor salivary glands, and 14 in the paranasal region, the nasal cavity or the skull base. The prescribed dose was 100–160 Gy.

Results

Patients were followed for 12–122 months (median 51 months). The 2-, 5-, and 10-year local tumor control rates were 86.3, 59, and 31.5 %, respectively. The 2-, 5-, and 10-year overall survival rates were 92.1, 65 and 34.1 %, respectively. Tumors > 6 cm had significantly lower local control and survival rates. No severe complications were observed during follow-up.

Conclusion

125I brachytherapy is a feasible and effective modality for the treatment of locally advanced unresectable or recurrent ACC.
Literatur
1.
Zurück zum Zitat Ashamalla H, Rafla S, Zaki B et al (2002) Radioactive gold grain implants in recurrent and locally advanced head-and-neck cancers. Brachytherapy 1:161–166PubMedCrossRef Ashamalla H, Rafla S, Zaki B et al (2002) Radioactive gold grain implants in recurrent and locally advanced head-and-neck cancers. Brachytherapy 1:161–166PubMedCrossRef
2.
Zurück zum Zitat Avery CM, Moody AB, McKinna FE et al (2000) Combined treatment of adenoid cystic carcinoma of the salivary glands. Int J Oral Maxillofac Surg 29:277–279PubMedCrossRef Avery CM, Moody AB, McKinna FE et al (2000) Combined treatment of adenoid cystic carcinoma of the salivary glands. Int J Oral Maxillofac Surg 29:277–279PubMedCrossRef
3.
Zurück zum Zitat Ayukawa F, Shibuya H, Yoshimura R et al (2007) Curative brachytherapy for recurrent/residual tongue cancer. Strahlenther Onkol 183:133–137PubMedCrossRef Ayukawa F, Shibuya H, Yoshimura R et al (2007) Curative brachytherapy for recurrent/residual tongue cancer. Strahlenther Onkol 183:133–137PubMedCrossRef
4.
Zurück zum Zitat Balamucki CJ, Amdur RJ, Werning JW et al (2012) Adenoid cystic carcinoma of the head and neck. Am J Otolaryngol 33:510–518PubMedCrossRef Balamucki CJ, Amdur RJ, Werning JW et al (2012) Adenoid cystic carcinoma of the head and neck. Am J Otolaryngol 33:510–518PubMedCrossRef
5.
Zurück zum Zitat Bianchi B, Copelli C, Cocchi R et al (2008) Adenoid cystic carcinoma of intraoral minor salivary glands. Oral Oncol 44:1026–1031PubMedCrossRef Bianchi B, Copelli C, Cocchi R et al (2008) Adenoid cystic carcinoma of intraoral minor salivary glands. Oral Oncol 44:1026–1031PubMedCrossRef
6.
Zurück zum Zitat Chen AM, Bucci MK, Weinberg V et al (2006) Adenoid cystic carcinoma of the head and neck treated by surgery with or without postoperative radiation therapy: prognostic features of recurrence. Int J Radiat Oncol Biol Phys 66:152–159PubMedCrossRef Chen AM, Bucci MK, Weinberg V et al (2006) Adenoid cystic carcinoma of the head and neck treated by surgery with or without postoperative radiation therapy: prognostic features of recurrence. Int J Radiat Oncol Biol Phys 66:152–159PubMedCrossRef
7.
Zurück zum Zitat Cowie VJ, Pointon RCS (1984) Adenoid cystic carcinoma of the salivary glands. Clin Radiol 35:331–333PubMedCrossRef Cowie VJ, Pointon RCS (1984) Adenoid cystic carcinoma of the salivary glands. Clin Radiol 35:331–333PubMedCrossRef
8.
Zurück zum Zitat Cox JD, Stetz J, Pajak TF (1995) Toxicity criteria of the Radiation Therapy Oncology Group (RTOG) and the European Organization for Research and Treatment of Cancer (EORTC). Int J Radiat Oncol Biol Phys 31:1341–1346PubMedCrossRef Cox JD, Stetz J, Pajak TF (1995) Toxicity criteria of the Radiation Therapy Oncology Group (RTOG) and the European Organization for Research and Treatment of Cancer (EORTC). Int J Radiat Oncol Biol Phys 31:1341–1346PubMedCrossRef
9.
Zurück zum Zitat Douglas JG, Laramore GE, Austin-Seymour M et al (2000) Treatment of locally advanced adenoid cystic carcinoma of the head and neck with neutron radiotherapy. Int J Radiat Oncol Biol Phys 46:551–557PubMedCrossRef Douglas JG, Laramore GE, Austin-Seymour M et al (2000) Treatment of locally advanced adenoid cystic carcinoma of the head and neck with neutron radiotherapy. Int J Radiat Oncol Biol Phys 46:551–557PubMedCrossRef
10.
Zurück zum Zitat Emami B, Marks JE (1983) Re-irradiation of recurrent carcinoma of the head and neck by afterloading interstitial 192Ir implant. Laryngoscope 93:1345–1347PubMed Emami B, Marks JE (1983) Re-irradiation of recurrent carcinoma of the head and neck by afterloading interstitial 192Ir implant. Laryngoscope 93:1345–1347PubMed
11.
Zurück zum Zitat Glaser MG, Leslie MD, Coles I, Cheesman AD (1995) Iodine seeds in the treatment of slowly proliferating tumours in the head and neck region. Clin Oncol 7:106–109CrossRef Glaser MG, Leslie MD, Coles I, Cheesman AD (1995) Iodine seeds in the treatment of slowly proliferating tumours in the head and neck region. Clin Oncol 7:106–109CrossRef
12.
Zurück zum Zitat Goldner G, Pötter R, Battermann JJ et al (2012) Comparison of seed brachytherapy or external beam radiotherapy (70 Gy or 74 Gy) in 919 low-risk prostate cancer patients. Strahlenther Onkol 188:305–310PubMedCrossRef Goldner G, Pötter R, Battermann JJ et al (2012) Comparison of seed brachytherapy or external beam radiotherapy (70 Gy or 74 Gy) in 919 low-risk prostate cancer patients. Strahlenther Onkol 188:305–310PubMedCrossRef
13.
Zurück zum Zitat Grabenbauer GG, Rödel C, Brunner T et al (2001) Interstitial brachytherapy with Ir-192 low-dose-rate in the treatment of primary and recurrent cancer of the oral cavity and oropharynx. Review of 318 patients treated between 1985 and 1997. Strahlenther Onkol 177:338–344PubMedCrossRef Grabenbauer GG, Rödel C, Brunner T et al (2001) Interstitial brachytherapy with Ir-192 low-dose-rate in the treatment of primary and recurrent cancer of the oral cavity and oropharynx. Review of 318 patients treated between 1985 and 1997. Strahlenther Onkol 177:338–344PubMedCrossRef
14.
Zurück zum Zitat Haddad A, Enepekides DJ, Manolidis S, Black M (1995) Adenoid cystic carcinoma of the head and neck: a clinicopathologic study of 37 cases. J Otolaryngol 24:201–205PubMed Haddad A, Enepekides DJ, Manolidis S, Black M (1995) Adenoid cystic carcinoma of the head and neck: a clinicopathologic study of 37 cases. J Otolaryngol 24:201–205PubMed
15.
Zurück zum Zitat Harrison LB, Armstrong JG, Spiro RH et al (1990) Postoperative radiation therapy for major salivary gland malignancies. J Surg Oncol 45:52–55PubMedCrossRef Harrison LB, Armstrong JG, Spiro RH et al (1990) Postoperative radiation therapy for major salivary gland malignancies. J Surg Oncol 45:52–55PubMedCrossRef
16.
Zurück zum Zitat Iseli TA, Karnell LH, Graham SM et al (2009) Role of radiotherapy in adenoid cystic carcinoma of the head and neck. J Laryngol Otol 123:1137–1144PubMedCrossRef Iseli TA, Karnell LH, Graham SM et al (2009) Role of radiotherapy in adenoid cystic carcinoma of the head and neck. J Laryngol Otol 123:1137–1144PubMedCrossRef
17.
Zurück zum Zitat Jiang YL, Meng N, Wang JJ et al (2010) CT-guided iodine-125 seed permanent implantation for recurrent head and neck cancers. Radiat Oncol 5:68PubMedCrossRef Jiang YL, Meng N, Wang JJ et al (2010) CT-guided iodine-125 seed permanent implantation for recurrent head and neck cancers. Radiat Oncol 5:68PubMedCrossRef
18.
Zurück zum Zitat Julow J, Viola A, Major T et al (2004) Iodine-125 brachytherapy of brain stem tumors. Strahlenther Onkol 180:449–454PubMedCrossRef Julow J, Viola A, Major T et al (2004) Iodine-125 brachytherapy of brain stem tumors. Strahlenther Onkol 180:449–454PubMedCrossRef
19.
Zurück zum Zitat Khan AJ, DiGiovanna MP, Ross DA et al (2001) Adenoid cystic carcinoma: a retrospective clinical review. Int J Cancer 96:149–158PubMedCrossRef Khan AJ, DiGiovanna MP, Ross DA et al (2001) Adenoid cystic carcinoma: a retrospective clinical review. Int J Cancer 96:149–158PubMedCrossRef
20.
Zurück zum Zitat Kim KH, Sung MW, Chung PS et al (1994) Adenoid cystic carcinoma of the head and neck. Arch Otolaryngol Head Neck Surg 120:721–726PubMedCrossRef Kim KH, Sung MW, Chung PS et al (1994) Adenoid cystic carcinoma of the head and neck. Arch Otolaryngol Head Neck Surg 120:721–726PubMedCrossRef
21.
Zurück zum Zitat Kim GE, Park HC, Keum KC et al (1999) Adenoid cystic carcinoma of the maxillary antrum. Am J Otolaryngol 20:77–84PubMedCrossRef Kim GE, Park HC, Keum KC et al (1999) Adenoid cystic carcinoma of the maxillary antrum. Am J Otolaryngol 20:77–84PubMedCrossRef
22.
Zurück zum Zitat Ko YH, Lee MA, Hong YS et al (2007) Prognostic factors affecting the clinical outcome of adenoid cystic carcinoma of the head and neck. Jpn J Clin Oncol 37:805–811PubMedCrossRef Ko YH, Lee MA, Hong YS et al (2007) Prognostic factors affecting the clinical outcome of adenoid cystic carcinoma of the head and neck. Jpn J Clin Oncol 37:805–811PubMedCrossRef
23.
Zurück zum Zitat Kokemueller H, Eckardt A, Brachvogel P, Hausamen JE (2004) Adenoid cystic carcinoma of the head and neck—a 20 years experience. Int J Oral Maxillofac Surg 33:25–31PubMedCrossRef Kokemueller H, Eckardt A, Brachvogel P, Hausamen JE (2004) Adenoid cystic carcinoma of the head and neck—a 20 years experience. Int J Oral Maxillofac Surg 33:25–31PubMedCrossRef
24.
Zurück zum Zitat Konno A, Ishikawa K, Numata T et al (1998) Analysis of factors affecting long-term treatment results of adenoid cystic carcinoma of the nose and paranasal sinuses. Acta Otolaryngol Suppl 537:67–74PubMed Konno A, Ishikawa K, Numata T et al (1998) Analysis of factors affecting long-term treatment results of adenoid cystic carcinoma of the nose and paranasal sinuses. Acta Otolaryngol Suppl 537:67–74PubMed
25.
Zurück zum Zitat Laurie SA, Ho AL, Fury MG et al (2011) Systemic therapy in the management of metastatic or locally recurrent adenoid cystic carcinoma of the salivary glands: a systematic review. Lancet Oncol 12:815–824PubMedCrossRef Laurie SA, Ho AL, Fury MG et al (2011) Systemic therapy in the management of metastatic or locally recurrent adenoid cystic carcinoma of the salivary glands: a systematic review. Lancet Oncol 12:815–824PubMedCrossRef
26.
Zurück zum Zitat Le QT, Birdwell S, Terris DJ et al (1999) Postoperative irradiation of minor salivary gland malignancies of the head and neck. Radiother Oncol 52:165–171PubMedCrossRef Le QT, Birdwell S, Terris DJ et al (1999) Postoperative irradiation of minor salivary gland malignancies of the head and neck. Radiother Oncol 52:165–171PubMedCrossRef
27.
Zurück zum Zitat Leafstedt SW, Gaeta JF, Sako K et al (1971) Adenoid cystic carcinoma of major and minor salivary glands. Am J Surg 122:756–762PubMedCrossRef Leafstedt SW, Gaeta JF, Sako K et al (1971) Adenoid cystic carcinoma of major and minor salivary glands. Am J Surg 122:756–762PubMedCrossRef
28.
Zurück zum Zitat Li Q, Xu T, Gao JM et al (2011) Surgery alone provides long-term survival rates comparable to those of surgery plus postoperative for patients with adenoid cystic carcinoma of the palate. Oral Oncol 47:170–173PubMedCrossRef Li Q, Xu T, Gao JM et al (2011) Surgery alone provides long-term survival rates comparable to those of surgery plus postoperative for patients with adenoid cystic carcinoma of the palate. Oral Oncol 47:170–173PubMedCrossRef
29.
Zurück zum Zitat Lopes MA, Santos GC, Kowalski LP (1998) Multivariate survival analysis of 128 cases of oral cavity minor salivary gland carcinoma. Head Neck 20:699–706PubMedCrossRef Lopes MA, Santos GC, Kowalski LP (1998) Multivariate survival analysis of 128 cases of oral cavity minor salivary gland carcinoma. Head Neck 20:699–706PubMedCrossRef
30.
Zurück zum Zitat Mendenhall WM, Morris CG, Amdur RJ et al (2004) Radiotherapy alone or combined with surgery for adenoid cystic carcinoma of the head and neck. Head Neck 26:154–162PubMedCrossRef Mendenhall WM, Morris CG, Amdur RJ et al (2004) Radiotherapy alone or combined with surgery for adenoid cystic carcinoma of the head and neck. Head Neck 26:154–162PubMedCrossRef
31.
Zurück zum Zitat Miglianico L, Eschwege F, Marandas P, Wibault P (1987) Cervico-facial adenoid cystic carcinoma: study of 102 cases. Influence of radiation therapy. Int J Radiat Oncol Biol Phys 13:673–678PubMedCrossRef Miglianico L, Eschwege F, Marandas P, Wibault P (1987) Cervico-facial adenoid cystic carcinoma: study of 102 cases. Influence of radiation therapy. Int J Radiat Oncol Biol Phys 13:673–678PubMedCrossRef
32.
Zurück zum Zitat Mücke T, Tannapfel A, Kesting MR et al (2010) Adenoid cystic carcinomas of minor salivary glands. Auris Nasus Larynx 37:615–620PubMedCrossRef Mücke T, Tannapfel A, Kesting MR et al (2010) Adenoid cystic carcinomas of minor salivary glands. Auris Nasus Larynx 37:615–620PubMedCrossRef
33.
Zurück zum Zitat Pandey M, Thomas S, Mathew A, Nair MK (2003) Malignant tumours of the minor salivary glands: a survival analysis of 17 years from a tertiary referral cancer centre. J Postgrad Med 49:25–58PubMedCrossRef Pandey M, Thomas S, Mathew A, Nair MK (2003) Malignant tumours of the minor salivary glands: a survival analysis of 17 years from a tertiary referral cancer centre. J Postgrad Med 49:25–58PubMedCrossRef
34.
Zurück zum Zitat Park RI, Liberman FZ, Lee DJ et al (1991) Iodine-125 seed implantation as an adjunct to surgery in advanced recurrent squamous cancer of the head and neck. Laryngoscope 101:405–410PubMedCrossRef Park RI, Liberman FZ, Lee DJ et al (1991) Iodine-125 seed implantation as an adjunct to surgery in advanced recurrent squamous cancer of the head and neck. Laryngoscope 101:405–410PubMedCrossRef
35.
Zurück zum Zitat Peters N, Wieners G, Pech M et al (2008) CT-guided interstitial brachytherapy of primary and secondary lung malignancies: results of a prospective phase II trial. Strahlenther Onkol 184:296–301PubMedCrossRef Peters N, Wieners G, Pech M et al (2008) CT-guided interstitial brachytherapy of primary and secondary lung malignancies: results of a prospective phase II trial. Strahlenther Onkol 184:296–301PubMedCrossRef
36.
Zurück zum Zitat Prokopakis EP, Snyderman CH, Hanna EY et al (1999) Risk factors for local recurrence of adenoid cystic carcinoma: the role of postoperative radiation therapy. Am J Otolaryngol 20:281–286PubMedCrossRef Prokopakis EP, Snyderman CH, Hanna EY et al (1999) Risk factors for local recurrence of adenoid cystic carcinoma: the role of postoperative radiation therapy. Am J Otolaryngol 20:281–286PubMedCrossRef
37.
Zurück zum Zitat Puthawala A, Nisar Syed AM, Gamie S et al (2001) Interstitial low-dose rate brachytherapy as a salvage treatment for recurrent head-and-neck cancers: long-term results. Int J Radiat Oncol Biol Phys 51:354–362PubMedCrossRef Puthawala A, Nisar Syed AM, Gamie S et al (2001) Interstitial low-dose rate brachytherapy as a salvage treatment for recurrent head-and-neck cancers: long-term results. Int J Radiat Oncol Biol Phys 51:354–362PubMedCrossRef
38.
Zurück zum Zitat Rapidis AD, Givalos N, Gakiopoulou H et al (2005) Adenoid cystic carcinoma of the head and neck. Clinicopathological analysis of 23 patients and review of the literature. Oral Oncol 41:328–335PubMedCrossRef Rapidis AD, Givalos N, Gakiopoulou H et al (2005) Adenoid cystic carcinoma of the head and neck. Clinicopathological analysis of 23 patients and review of the literature. Oral Oncol 41:328–335PubMedCrossRef
39.
Zurück zum Zitat Renehan A, Gleave EN, Hancock BD et al (1996) Long-term follow-up of over 1000 patients with salivary gland tumors treated in a single centre. Br J Surg 83:1750–1754PubMedCrossRef Renehan A, Gleave EN, Hancock BD et al (1996) Long-term follow-up of over 1000 patients with salivary gland tumors treated in a single centre. Br J Surg 83:1750–1754PubMedCrossRef
40.
Zurück zum Zitat Rhee CS, Won TB, Lee CH et al (2006) Adenoid cystic carcinoma of the sinonasal tract: treatment results. Laryngoscope 116:982–986PubMedCrossRef Rhee CS, Won TB, Lee CH et al (2006) Adenoid cystic carcinoma of the sinonasal tract: treatment results. Laryngoscope 116:982–986PubMedCrossRef
41.
Zurück zum Zitat Richter J, Baier K, Flentje M (2008) Comparison of 60cobalt and 192iridium sources in high dose rate afterloading brachytherapy. Strahlenther Onkol 184:187–192PubMedCrossRef Richter J, Baier K, Flentje M (2008) Comparison of 60cobalt and 192iridium sources in high dose rate afterloading brachytherapy. Strahlenther Onkol 184:187–192PubMedCrossRef
42.
Zurück zum Zitat Ruge MI, Kocher M, Maarouf M et al (2011) Comparison of stereotactic brachytherapy (125 iodine seeds) with stereotactic radiosurgery (LINAC) for the treatment of singular cerebral metastases. Strahlenther Onkol 187:7–14PubMedCrossRef Ruge MI, Kocher M, Maarouf M et al (2011) Comparison of stereotactic brachytherapy (125 iodine seeds) with stereotactic radiosurgery (LINAC) for the treatment of singular cerebral metastases. Strahlenther Onkol 187:7–14PubMedCrossRef
43.
Zurück zum Zitat Russell JD, Bleach NR, Glaser M, Cheesman AD (1993) Brachytherapy for recurrent nasopharyngeal and nasoethmoidal tumours. J Laryngol Otol 107:115–120PubMedCrossRef Russell JD, Bleach NR, Glaser M, Cheesman AD (1993) Brachytherapy for recurrent nasopharyngeal and nasoethmoidal tumours. J Laryngol Otol 107:115–120PubMedCrossRef
44.
Zurück zum Zitat Stannard C, Maree G, Munro R et al (2011) Iodine-125 orbital brachytherapy with a prosthetic implant in situ. Strahlenther Onkol 187:322–327PubMedCrossRef Stannard C, Maree G, Munro R et al (2011) Iodine-125 orbital brachytherapy with a prosthetic implant in situ. Strahlenther Onkol 187:322–327PubMedCrossRef
45.
Zurück zum Zitat Stannard CE, Hering E, Hough J et al (2004) Post-operative treatment of malignant salivary gland tumors of the palate with iodine-125 brachytherapy. Radiother Oncol 73:307–311PubMedCrossRef Stannard CE, Hering E, Hough J et al (2004) Post-operative treatment of malignant salivary gland tumors of the palate with iodine-125 brachytherapy. Radiother Oncol 73:307–311PubMedCrossRef
46.
Zurück zum Zitat Strnad V (2004) Treatment of oral cavity and oropharyngeal cancer. Indications, technical aspects, and results of interstitial brachytherapy. Strahlenther Onkol 180:710–717PubMedCrossRef Strnad V (2004) Treatment of oral cavity and oropharyngeal cancer. Indications, technical aspects, and results of interstitial brachytherapy. Strahlenther Onkol 180:710–717PubMedCrossRef
47.
Zurück zum Zitat Umeda M, Nishimatsu N, Yokoo S et al (2000) The role of radiotherapy for patients with adenoid cystic carcinoma of the salivary gland. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 89:724–729PubMedCrossRef Umeda M, Nishimatsu N, Yokoo S et al (2000) The role of radiotherapy for patients with adenoid cystic carcinoma of the salivary gland. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 89:724–729PubMedCrossRef
48.
Zurück zum Zitat Vattemi E, Graiff C, Sava T et al (2008) Systemic therapies for recurrent and/or metastatic salivary gland cancers. Expert Rev Anticancer Ther 8:393–402PubMedCrossRef Vattemi E, Graiff C, Sava T et al (2008) Systemic therapies for recurrent and/or metastatic salivary gland cancers. Expert Rev Anticancer Ther 8:393–402PubMedCrossRef
49.
Zurück zum Zitat Vikram B, Hilaris B (1984) Transnasal permanent interstitial implantation for carcinoma of the nasopharynx. Int J Radiat Oncol Biol Phys 10:153–155PubMedCrossRef Vikram B, Hilaris B (1984) Transnasal permanent interstitial implantation for carcinoma of the nasopharynx. Int J Radiat Oncol Biol Phys 10:153–155PubMedCrossRef
50.
Zurück zum Zitat Wiseman SM, Popat SR, Rigual NR et al (2002) Adenoid cystic carcinoma of the paranasal sinuses or nasal cavity: a 40-year review of 35 cases. Ear Nose Throat J 81:510–514, 516–517PubMed Wiseman SM, Popat SR, Rigual NR et al (2002) Adenoid cystic carcinoma of the paranasal sinuses or nasal cavity: a 40-year review of 35 cases. Ear Nose Throat J 81:510–514, 516–517PubMed
51.
Zurück zum Zitat Zhang J, Zhang JG, Song TL et al (2008) 125I seed implant brachytherapy-assisted surgery with preservation of facial nerve for treatment of malignant parotid gland tumors. Int J Oral Maxillofac Surg 37:515–520PubMedCrossRef Zhang J, Zhang JG, Song TL et al (2008) 125I seed implant brachytherapy-assisted surgery with preservation of facial nerve for treatment of malignant parotid gland tumors. Int J Oral Maxillofac Surg 37:515–520PubMedCrossRef
Metadaten
Titel
125I brachytherapy alone for recurrent or locally advanced adenoid cystic carcinoma of the oral and maxillofacial region
verfasst von
M.-W. Huang, PhD
L. Zheng, PhD
S.-M. Liu, PhD
Y. Shi, PhD
J. Zhang, PhD
G.-Y. Yu, PhD
Prof. Dr. J.-G. Zhang, B.S.Med
Publikationsdatum
01.06.2013
Verlag
Springer-Verlag
Erschienen in
Strahlentherapie und Onkologie / Ausgabe 6/2013
Print ISSN: 0179-7158
Elektronische ISSN: 1439-099X
DOI
https://doi.org/10.1007/s00066-013-0324-3

Weitere Artikel der Ausgabe 6/2013

Strahlentherapie und Onkologie 6/2013 Zur Ausgabe

Mitteilungen der Fachgesellschaften

Mitteilungen der Fachgesellschaften

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.