Der Bedrohte Friede Download Pdf
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… der bedrohte friede weizsacker pdf der ·Head and neck radiotherapy in patients over 60 years old: a clinical study.
Overall, 26 patients over 60 years old (median age, 71 years) with carcinoma of the head and neck were treated with curative intent by (intermittent) radiotherapy during the period 1974-1982. Twenty-four patients received postoperative radiotherapy, with 12 to 25 fractions of 1.8-2.5 Gy per fraction. Three had adjuvant radiotherapy without surgery. Patients over 75 years of age were treated with reduced radiotherapy doses. The dose to the cochlea was kept as low as possible, but special protection was given to the thyroid gland, which was treated with 7, 10, or 15 Gy. Follow-up was performed in all patients. Eight patients had recurrences within 3 years after completion of radiotherapy; 6 of these died of the primary tumor. The majority of patients with recurrent disease did not show subjective or objective signs of recurrent tumor. However, in patients with recurrence, mediastinal and cervical metastases were seen in 5 and 4 of 7 patients, respectively. The treatment was well tolerated by patients of this age.The OR should be tested with a higher (500 mg) alfentanil dose in order to prevent high levels of sedation in the postoperative setting.
Abstract
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