(NE )2 2NS • ',"$) +PSA (1202%&-&%. !((,*' #$/ • 18808 • -83 • 8IPSA5<:1%. 88Gleason score 5+5=10 88=288/8 88CT/MRI/4@HBK4I*4LN/&(T4N1M1) 7 8'+"94/&9FHC(/&=.; DGEH!986!(OQMNLMP)3?JA, 86!$#< )!0>. • • $"%$6/ • () • #%!%() PSA0.34 ng/ml NSE65.7 ng/ml CEA116.9 ng/ml MRI T2 High-b DWI Low-b DWI ADC map • #'3 7K6)4)#LHDRM18Gy/2 )H, 7KI?#(EBRTM37.5Gy)H 7K#7J>?"G: 77CT>$*0%H.A8(5 77!#?CE!:-;815 7K151J>&@/ 77CT>*0%9D@+H.A= 775#<FB5I?2 PSA CEA 4 5 6 0.34 0.21 0.06 <0.01 <0.01 19.5 116.9 49.3 33.0 99.8 348.2 19.2 65.7 27.2 30.5 84.6 129.9 4.20 14.1 NSE CA19-9 1 2 3.41 9 12 CA125 11 AFP 2 (MAB) () 3 (37.5Gy) HDR (18Gy) 9 13 ! " CT ( ) ( ) • 27407 • -7<9 • 7JPSA(13.5)=:3%. 7J'+C, 77Gleason score 5+4=9 77>475/8 77CT/MRI/5DIEK 0&?/@B<8(T3N0M0) 6 77J'+">.;FHGI!C2 (A()) 77J!$#=*!1. • +#(-, • +/4164+264750ml/ +*+++++* +-, • $%"( ) +*#(-, • $ 3606( ) PSA+0.73 ng/ml NSE+15.6 ng/ml • & 5)'(HDR718Gy/2).! 5 (EBRT).! MRI T2 High-b DWI Low-b DWI ADC map PSA NSE 12.4 2 3 5 6 7 10 12 14 13.5 14.01 15.52 3.02 0.76 0.39 0.73 0.25 10.4 15.6 12.5 (MAB ) (18Gy) =3<)3&,$^HDR (high dose rate brachytherapy) • 16L!/L3&(192Ir:V\YW[]UC#, 2LNDT $ • LQS3',$(EBRT)I* • L.\ZXM=? 16-(=\ZX 16-)L CG9@ • :M'(,$L"OG 16LBM3<U' C>8(05>74>;KJ)MK3U% RETFP>'LQT+U%HAT HDR) (EBRT) PTV : 2.53.0Gy/fx PTV : GTV+10mm 10mm 40Gy~45Gy/15~16fx/16days %. ) 1.%(*111)#)+95~98% 2./0-%()&%1&1 ") 3.' 4. 5." 6. 7. 8.,..$(!$1(1)#) %. ) 1.%(*111)#)+95~98% 2./0-%()&%1&1 ") 3.' 4. 5." 6.(neuroendocrine carcinoma2NE) 7. 8.,..$(!$1(1)#) (NE), • -"*DGEI(;H=@ IJ6G9=@I*))3%!, !3%(#1 • +-3+$21( 6G<A5> +3 '&.,) • 7HE8F@IAJNSEJ9?C=B4:I+/0 $21 (NE ) (HE) 8<*4(NE4)Z@6- • 51t5.'[" KGH;:XNE4(67%)IB#R_?4WNE4S, (19%)J*3+YNE4S5.(14%) • eolfmipA^NSES>2ksdsWTU]%0 • )3t3+(CDDPrCPT-11rVP-16)L =3 +Mcphogp b(TUQ`Ljnlp)3 VNa • tB!#YEA4SOM7&FVDY TLT\T\C9bPM/&FG9.8~17.1q$ • 8:9<(+),24PSA# &( 5%*"3). ,NE# &,24.6< 7;=:)$'*!5 • "3-NE0-.)$+ '1++3/,# • PSA (NE)2
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