摘要
宫颈癌术后有高危因素患者易局部复发。已经证实有高危因素患者术后行辅助放疗能提高局部控制率,但不能提高总生存率。有研究显示同步放化疗较单纯放疗能提高生存率,但血液及消化系统不良反应较重。调强放疗(IMRT)能提高靶区适形度及剂量,同时降低周围正常组织剂量,IMRT有较好的局部控制率及生存率。
Local recurrence is more frequent in postoperative cervical cancer patients with high-risk factors. It is confirmed that adjuvant pelvic radiotherapy (RT) for the cervical cancer patients after surgery with high-risk factors can improve local control but can't improve the overall survival. Researches show that concur- rent chemo-radiotherapy (CCRT) can improve survival rates compared with radiotherapy, but the adverse effects such as leucopenia and gastrointestinal toxicity are observed frequently. Intensity-modulated radiation therapy (IMRT) has been developed to deliver a high radiation dose to an irregular target volume, with relative sparing of adjacent normal tissues. IMRT has excellent local tumor control and overall survival.
出处
《国际肿瘤学杂志》
CAS
2012年第8期622-625,共4页
Journal of International Oncology
关键词
宫颈肿瘤
放射疗法
药物疗法
Uterine cervical neoplasms
Radiotherapy
Drug therapy