首批英国患者队列接受了用于原发性癌的立体性废除性放射治疗
Anjali Zarkar1, Dan Henderson1, Antony Carver1
1University Hospitals Birmingham NHS Foundation Trust Birmingham UK.
BJUI compass
|June 19, 2023
概括
对于癌而言,立体性废除性辐射疗法 (SABR) 是安全有效的. 这项研究表明,SABR为原发性细胞癌患者提供了良好的局部控制和生存率.
科学领域:
- 在瘤学瘤学.
- 辐射瘤学 辐射瘤学
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 立体除性放射治疗 (SABR) 是一种新兴的非侵入性治疗原发性细胞癌 (RCC) 的方法.
- 以前的研究表明可行性和耐受性,但来自英国中心的数据有限.
研究的目的:
- 介绍英国第一个单一机构队列的初级RCC患者,他们接受了基于协议的SABR治疗.
- 报告潜在的毒性和结果数据.
- 为英国癌症中心更广泛地实施SABR提供一个协议.
主要方法:
- 19名初级RCC患者在线加速器或CyberKnife上接受了SABR (42 Gy分为3个小部分或26 Gy分为1个小部分).
- 使用CTCAE V4.0.0.进行毒性评估.
- 包括eGFR和瘤反应 (CT-TAP) 在内的结果被监测了长达24个月.
主要成果:
- 患者的中位年龄为76岁,中位瘤大小为4.5厘米.
- SABR耐受性很好,没有急性严重的副作用.
- 12个月后平均eGFR下降为8.7毫升/分钟.
- 12个月后的局部控制率为94.4%.
- 在12个月的总生存率为78.3%.
结论:
- SABR是初级RCC的安全和可行的治疗选择,特别是对于医疗不适合的患者.
- 在英国的癌症中心,可以使用标准的线性加速器和CyberKnife平台进行治疗.
- 该研究提供了一项协议,以促进SABR在RCC的更广泛采用.
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