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Radiotherapy Of Gastric Lymphoma

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Kidwai Memorial Institute of Oncology, Bangalore
Kidwai Memorial Institute of Oncology, Bangalore
Health & Medicine
1 of 39
Management of Gastric Lymphoma with Radiation Therapy Dr. V . Lokesh M.D. Associate Professor Dept of Radiation Oncology, KMIO, Bangalore 29
GASTRIC LYMPHOMA ,[object Object],[object Object],[object Object],[object Object],[object Object]
GASTRIC LYMPHOMA ,[object Object],[object Object],[object Object]
Major histological subtypes of gastric lymphoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indications for Radiation Therapy ( Ann Arbor, modified by Musshoff) Involvement of stomach and lymph nodes on both sides of diaphragm III subdiaphragmatic lymph nodes (L3 downwards or in mesentry) 　 Involvement of stomach and noncontiguous IIE 2 Involvement of stomach and contiguous lymph nodes (Peri-gastric area / Level L1 – L2) IIE 1 Lymphoma limited to the stomach IE Stage
MALT – RT indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Contn ..
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RT - Treatment Intent ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Radiation Therapy Sequencing
RT Techniques ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Radiation Therapy - treatment plan ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RT Planning & Dose ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
RT Machines ,[object Object],[object Object]
Recent Advances ,[object Object],[object Object],[object Object],[object Object],[object Object]
Tomotherapy linac MLC
CyberKnife
Simulation X- Ray
 
 
 
 
 
 
 
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RESULTS
Gastric Lymphoma Localized treated with radiation therapy PRE RT End of RT F/U – at 1 yr
MALT (MSKCC) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Adjuvant therapy: ,[object Object],[object Object],[object Object],[object Object]
RT & CT ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
 
acute radiation side effects ,[object Object],[object Object],[object Object],[object Object]
Radiotherapy Results & Conclusion ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Thank You
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Radiotherapy Of Gastric Lymphoma

  • 1. Management of Gastric Lymphoma with Radiation Therapy Dr. V . Lokesh M.D. Associate Professor Dept of Radiation Oncology, KMIO, Bangalore 29
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  • 5. Indications for Radiation Therapy ( Ann Arbor, modified by Musshoff) Involvement of stomach and lymph nodes on both sides of diaphragm III subdiaphragmatic lymph nodes (L3 downwards or in mesentry) 　 Involvement of stomach and noncontiguous IIE 2 Involvement of stomach and contiguous lymph nodes (Peri-gastric area / Level L1 – L2) IIE 1 Lymphoma limited to the stomach IE Stage
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  • 29. Gastric Lymphoma Localized treated with radiation therapy PRE RT End of RT F/U – at 1 yr
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