{"_buckets": {"deposit": "0f58a840-56bf-4288-ba44-13001cd4a1a5"}, "_deposit": {"id": "25795", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "25795"}, "status": "published"}, "_oai": {"id": "oai:niigata-u.repo.nii.ac.jp:00025795"}, "item_7_alternative_title_1": {"attribute_name": "\u305d\u306e\u4ed6\u306e\u30bf\u30a4\u30c8\u30eb", "attribute_value_mlt": [{"subitem_alternative_title": "Oropharynx carcinoma with lateral retropharyngeal lymph node metastasis successfully controlled by thermo-chemo-radiotherapy: report of a case"}]}, "item_7_biblio_info_6": {"attribute_name": "\u66f8\u8a8c\u60c5\u5831", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2000-07", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "1", "bibliographicPageEnd": "47", "bibliographicPageStart": "43", "bibliographicVolumeNumber": "30", "bibliographic_titles": [{"bibliographic_title": "\u65b0\u6f5f\u6b6f\u5b66\u4f1a\u96d1\u8a8c"}, {"bibliographic_title": "\u65b0\u6f5f\u6b6f\u5b66\u4f1a\u96d1\u8a8c", "bibliographic_titleLang": "en"}]}]}, "item_7_description_4": {"attribute_name": "\u6284\u9332", "attribute_value_mlt": [{"subitem_description": "In general, it is very difficult to control head and neck cancer with retropharyngeal lymph node (Rouviere lymph node: RLN) metastasis. Hyperthermia combined with radiochemotherapy was attempted for the treatment of an oropharynx cancer with an RLN and bilateral cervical lymph nodes metastases, and resulted in a complete response. A 65-year old man was referred to our clinic complaining of pain in the oropharyngeal region. MRI imaging revealed an oropharyngeal tumor mass lesion and some metastases to an ipsilateral RLN and bilateral superior internal jugular lymph nodes (SIJLN). Pathologically, it was a well-differenciated squamous cell carcinoma, classified as stage 4 according to the UICC classification. We treated this patient with a combination of hyperthermia, using a 2,450-MHz microwave heating system, irradiation and chemotherapy. The tumor temperature inside the bilateral SIJLN was maintained at over 43\u2103 for about 40 minutes. Hyperthermia was performed 8 times (twice a week), combined with 60Co irradiation (2Gy/day, total70Gy), CDDP (10mg/day, total 60mg) and 5FU (125mg/day, total 5,625mg) administered through intra-arterial injection. The tumor size dramatically decreased, and finally disappeared 6 months later judging based on MRI. The patient died of pneumonia 1 year 10 months later without any reccurence around the oropharyngeal area and regional lymph nodes. The present case suggests that hyperthermia combined with radiochemotherapy is an effective strategy for the advanced head and neck cansers with retropharyngeal lymph node metastases.", "subitem_description_type": "Abstract"}, {"subitem_description": 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