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Brian Guilherme Monteiro Marta Coimbra¹, Alice Roxo Nobre de Souza E Silva², Cauã Bhering Soares²

¹Grupo de Coluna, Instituto do Câncer do Estado de São Paulo, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brasil.

Revista brasileira de ortopedia

|August 20, 2025

概括

癌症治疗的进步增加了生存率,使脊髓转移变得更常见. 立体辐射疗法 (SBRT) 改善了脊髓转移的控制,进化了息护理策略.

科学领域:

癌症学
辐射瘤学
神经外科

背景情况:

由于癌症的生存率提高,转移性脊髓疾病的发生率正在上升.
脊髓转移的缓解治疗现在强调长期控制病情.
过去的治疗方法,如常规的外部辐射疗法 (cEBRT),存在局限性.

研究的目的:

审查脊髓转移治疗的历史和创新.
专注于现代疗法的益处,适应性和临床影响.
为管理转移性脊髓疾病提供最新的视角.

主要方法:

对脊髓转移的历史和当前治疗方法的审查.
分析手术和放射治疗技术的进展.
在脊椎疾病的背景下对立体体辐射治疗 (SBRT) 的评估.

主要成果:

整体辐射疗法 (SBRT) 显著改善了瘤控制.
在管理脊髓转移的手术技术和作用已更新.
尽管放射治疗取得了进展, 但仍存在毒性问题.

结论:

现代方法,特别是SBRT, 已经改变了脊髓转移的管理.
治疗策略必须平衡疗效与放射治疗引起的毒性.
有关益处,适应性和影响的最新理解对于患者的护理至关重要.

关键词:

新生体转移辐射治疗脊柱/手术

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