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J Korean Soc Ther Radiol Oncol > Volume 29(2); 2011 > Article
The Journal of the Korean Society for Therapeutic Radiology and Oncology 2011;29(2): 121-126. doi: https://doi.org/10.3857/jkstro.2011.29.2.121
A Bile Duct Cancer Patient Whose Stent Shifted Significantly Over the Course of External Beam Radiotherapy
Hyong Geun Yun
Department of Radiation Oncology, Dongguk University Ilsan Hospital, Goyang, Korea. yunhg@dumc.or.kr
ABSTRACT
The author reports a bile duct cancer patient whose stent shifted significantly from right to left over the course of radiotherapy. The 80-year-old female patient had a short stature with thoracic kyphosis and mutiple spinal compression fractures. She was also emaciated and very lean. By comparing the weekly scanned computed tomography images, the author found her stent to have shifted by more than 4 cm from right to left over the course of external beam radiotherapy. The results of this case study suggest that for a very lean and emaciated kyphotic bile duct cancer patient, the possibility of large interfractional movement of the bile duct or stent during radiotherapy should be considered.
Key Words: Bile duct, Stent, Interfractional, Movement, Radiotherapy
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