在癌中的转移导向治疗
Jamaal C Jackson1, Antonio Franco1, Dian Wang2
1Department of Urology.
Current opinion in urology
|July 5, 2023
概括
转移性细胞癌 (mRCC) 的转移直接治疗 (MDT) 是有前途的. 手术转移切除术和立体辐射疗法越来越多地被使用,对于某些患者来说,它们似乎是安全和有益的.
科学领域:
- 在瘤学瘤学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 癌症研究 癌症研究
背景情况:
- 转移性细胞癌 (mRCC) 管理正在迅速发展.
- 转移直接治疗 (MDT) 正在作为一种治疗选择获得关注.
- 最近的证据主要集中在外科转移切除术 (MS) 和立体辐射疗法 (SRT) 上.
研究的目的:
- 批判性地审查关于MDT对mRCC的最新证据.
- 评估MS和SRT在mRCC管理中的作用.
- 综合最近文献的研究结果 (2021年1月以后).
主要方法:
- 对英语语言文学进行非系统的审查.
- 在PubMed/MEDLINE搜索2021年1月以来发表的原始研究.
- 文章分为手术转移切除术和立体辐射疗法.
主要成果:
- 关于MS的有限的回顾性研究表明,它可以成为选择的mRCC病例的多式联络战略的一部分.
- 报道了对转移部位的SRT进行的回顾性和前性研究.
- 在过去两年中,对mRCC的MDT (MS和SRT) 的证据显著增长.
结论:
- 包括MS和SRT在内的MDT在mRCC管理中越来越多地实施.
- 在精心挑选的mRCC患者中,MDT似乎是安全的,并且可能有益.
- 对MDT日益增长的兴趣表明它在mRCC治疗策略中的作用正在扩大.
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