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胃癌的放射治疗:一个ASTRO临床实践指南

Christopher J Anker¹, Junaid Arshad², Francesco Cellini³

¹Division of Radiation Oncology, University of Vermont Cancer Center, Burlington, Vermont.

Practical radiation oncology

|November 29, 2025

概括

本指南为在胃癌管理中使用放射治疗 (RT) 提供了基于证据的建议. 它涵盖了可切除,不可切除和转移性疾病的指示,时间和技术,旨在改善患者的治疗结果.

科学领域:

在瘤学瘤学.
辐射瘤学辐射瘤学
胃肠道瘤学胃肠道瘤学

背景情况:

胃癌的管理需要多学科的方法.
放射治疗 (RT) 在胃癌的各种临床环境中发挥着作用.
优化RT指示和技术对于患者护理至关重要.

研究的目的:

在胃癌中提供基于证据的放射治疗 (RT) 建议.
针对不同疾病阶段的RT的指示,时间和技术.
为了指导可切除,不可切除和转移性胃癌的临床实践.

主要方法:

一个工作组进行了系统的文献审查.
使用基于共识的方法制定了建议.
证据质量和建议强度被分级.

主要成果:

建议在可切除的胃癌中进行外科化疗 (例如,FLOT).
在特定情况下,建议进行手术前或手术后化学辐射治疗.
绝对化疗和转移导向治疗是晚期疾病的选择.
息性RT是有效的症状管理.

结论:

这些建议为临床实践提供了一个关于胃癌RT的框架.
需要进一步的研究来完善RT在胃癌管理中的作用.

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