针对局部复发的软组织肉瘤的再辐射:系统性审查
Konrad Zasadziński1, Aleksandra Bochyńska2, Aneta Borkowska1,3
1Department of Radiotherapy I, Maria Skłodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
Clinical and translational radiation oncology
|December 29, 2025
概括
针对局部复发软组织肉瘤 (LRSTS) 的再辐射在某些患者中是可行的,尽管有显著的毒性风险. 这一系统性审查强调了可变的局部控制率和生存结果,强调需要进一步研究.
科学领域:
- 在瘤学瘤学.
- 辐射瘤学 辐射瘤学
- 手术瘤学手术瘤学
背景情况:
- 局部复发性软组织肉瘤 (LRSTS) 由于二次治疗选择有限,造成了重大临床挑战.
- 由于担心严重的正常组织毒性,LRSTS的再辐射在历史上已被禁用.
- 多模式救援治疗可能为选择的LRSTS患者提供更好的结果.
研究的目的:
- 系统地审查LRSTS患者再辐射的可行性和结果.
- 评估不同的再辐射方式及其相关毒性.
- 为了确定在LRSTS管理中对再辐射的潜在指示.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 在PubMed Medline,Embase和Scopus数据库中搜索相关的临床研究.
- 包括20项涉及437名接受LRSTS再照射的患者的研究.
主要成果:
- 再辐射方式包括支臂疗法,手术内RT,外部光束RT,碳离子RT和质子RT.
- 当地控制率差异很大 (15%-100%),大多数研究报告50%-70%.
- 在50%的患者中发生了≥3级的急性和晚期毒性.
结论:
- 对于选定的LRSTS患者,可以考虑作为最终或多模式治疗的再辐射.
- 研究设计,患者群体和治疗方案的显著异质性限制了最终的结论.
- 需要进一步进行高质量的研究,以确定LRSTS再辐射的明确指示.
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