子中子捕获疗法作为一种用于冠状肉瘤的新方法:瘤减少和长期控制的案例研究
Junqiang Hong1, Yuan-Hao Liu1,2,3,4,5, Xiaohua Zhu6
1Xiamen Humanity Hospital, Xiamen, Fujian, People's Republic of China.
Advances in radiation oncology
|October 27, 2025
概括
这项研究详细介绍了中子捕获疗法 (BNCT) 首次用于中介质软骨瘤 (MCS),这是一种罕见且耐治疗的癌症. BNCT显示显著的瘤减少和积极的临床反应与可管理的副作用.
科学领域:
- 在瘤学瘤学.
- 辐射瘤学 辐射瘤学
- 医学物理 医学物理
背景情况:
- 介质性软骨肉瘤 (MCS) 是一种罕见的软骨形成组织的恶性瘤.
- 对于传统的治疗方法来说,MCS表现出耐药性.
- 需要新的治疗策略来管理这种具有挑战性的恶性瘤.
研究的目的:
- 报告中子捕获疗法 (BNCT) 治疗软骨肉瘤的首次记录应用.
- 为了评估BNCT在患有间膜性软骨肉瘤的患者中的疗效和安全性.
- 探索BNCT作为治疗耐药性软骨髓瘤的潜在替代方案.
主要方法:
- 该患者使用NeuPex AB-BNCT系统和NBB-001 (甲氨酸) 接受了2次BNCT治疗.
- 治疗规划使用了NeuMANTA系统,使用18F-基氨PET-CT作为指导和MRI进行评估.
- 瘤反应被评估使用响应评估标准在固体瘤 (RECIST) 版本1.1.
主要成果:
- 通过BNCT,最大瘤尺寸减少了45.8%,这表明部分反应.
- 患者经历了良好的临床结果,没有严重的不良反应.
- 副作用主要是轻微的 (1-2级),暂时的3级粘膜炎得到了支持性治疗.
结论:
- 子中子捕获疗法显示出作为中介质软骨肉瘤治疗方式的显著潜力.
- BNCT为抗常规疗法的冠状肉瘤病例提供了一个有前途的选择.
- 进一步的研究对于优化MCS和其他难以治疗的癌症的BNCT协议至关重要.
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