The results confirm the high efficacy of RT in painful plantar spur and add new aspects to formerly published data concerning the time course of changes in heel pain reduction. Pain relief can be expected during and shortly after RT. In addition, the initial success can be transformed into effective long-term results > 2 years after RT; however, further improvement is not to be expected. As a new prognostic factor, the reduction of mechanical heel stress during RT may ameliorate the short-term results, whereas short heel pain history improves the long-term results. Especially for older patients, RT should be taken into consideration as primary treatment.
Colorectal carcinoma is one of the most common cancer in Germany. We want to evaluate the most reliable CT features indicating local recurrence of rectal cancer as early as possible. 232 patients suffering from rectal cancer being administered to our clinic from 1987-1998 were investigated. Criteria for inclusion: patients after surgery and radiotherapy of rectal cancer with a minimum follow-up of two years and at least 3 CT examinations. All CT examinations were analyzed standardized. The main target parameters for relapse were enlargement of a presacral mass, inhomogeneous appearance, asymmetric outlines, enlarged lymph nodes and infiltration of the surrounding structures. An unchanged appearance of the presacral space in more than three CT examinations after surgery correlated with freedom of recurrence.
Multiplanar reconstructions allow a significant better detection of rectal cancer recurrence when compared to axial reconstructions. Thinner axial slice thickness shows no diagnostic advantage.
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