早期不可手术的乳腺癌的治疗选择:冷或放射治疗?
Gail Wan Ying Chua1, Lucia Li2
1Division of Radiation Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Breast care (Basel, Switzerland)
|April 22, 2024
概括
对于不可手术的早期乳腺癌,冷和放射治疗为手术提供了替代方案. 患者因素,如瘤大小和并发症,指导这些微创治疗方法之间的选择.
科学领域:
- 在瘤学瘤学.
- 医学物理 医学物理
- 手术瘤学手术瘤学
背景情况:
- 手术切除瘤是早期乳腺癌的标准.
- 人口老龄化增加了伴随疾病患者的诊断,使他们无法进行手术.
- 对于非手术候选人,需要使用替代治疗方法.
研究的目的:
- 审查冷和外部光束放射治疗作为早期乳腺癌的替代方案.
- 总结每个技术的证据和患者选择标准.
- 帮助非手术性乳腺癌患者的临床决策.
主要方法:
- 关于冷和外部光束放射治疗的叙述性审查.
- 对每个模式的现有证据的总结.
- 讨论影响治疗选择的患者特定因素.
主要成果:
- 对较大,肤浅或定义不良的瘤而言,最好采用放射治疗.
- 结冷处理适合那些希望更少的疗程,担心化或有放射治疗禁忌的患者.
- 技术的进步提高了当地控制率.
结论:
- 结冰和放射治疗是不可手术的早期乳腺癌的可行的替代方案.
- 患者选择对于优化治疗结果至关重要.
- 技术进步提高了治疗效率和患者选择.
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