在癌中,有放射治疗选择
Nicholas G Zaorsky1, Alexander V Louie2, Shankar Siva3
1University Hospitals Seidman Cancer Center and Case Western Reserve University, Cleveland, Ohio, USA.
Current opinion in supportive and palliative care
|October 25, 2023
概括
立体体射线疗法 (SBRT) 提供了对原发性和转移性细胞癌 (RCC) 的优秀局部控制. 这种安全有效的治疗方法对患有癌的患者具有有限的毒性.
科学领域:
- 在瘤学瘤学.
- 辐射瘤学 辐射瘤学
背景情况:
- 细胞癌 (RCC) 在初级和转移性环境中提出了挑战.
- 立体性身体辐射疗法 (SBRT) 是一种不断发展的治疗方式.
研究的目的:
- 审查目前关于原发性和转移性RCC的立体性身体辐射疗法 (SBRT) 的证据.
- 评估SBRT在RCC治疗中的安全性和有效性.
主要方法:
- 对SBRT用于细胞癌的现有文献的综述.
- 从SBRT研究中分析局部控制率和毒性概况.
主要成果:
- 初级RCC的SBRT实现了95%以上的局部控制,毒性3~4级≤5%.
- 对转移性RCC的SBRT显示~90%的1年局部控制与~1%的3-4级毒性.
- 在SBRT后观察到对膜过率的最小影响.
结论:
- SBRT是对原发性和转移性RCC的一种安全有效的治疗方法.
- 需要进行进一步的研究,以解决RCC预后,治疗选择和治疗中的未知问题.
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