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放疗在食管鳞癌多学科治疗中的瓶颈与突破

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摘要 长期以来手术是食管鳞癌的主要治疗手段,尽管手术技术已趋于成熟,患者术后的总生存率仍不佳.由于新辅助化放疗的进步,提升了局部晚期食管鳞癌的完全切除(R0)率、局部控制率和生存率.根治性化放疗能在反应良好患者中得到与手术相当的效果.不可否认,放疗在食管鳞癌治疗中占据着重要地位,虽放射物理技术在不断进步、放射生物理论也日臻完善,然而放疗在食管鳞癌综合治疗后疗效的提高上似乎受到了制约.笔者将通过回顾近年来的文献,阐述放疗在食管鳞癌多学科治疗中的瓶颈所在及如何突破.
出处 《中华放射肿瘤学杂志》 CSCD 北大核心 2014年第4期290-293,共4页 Chinese Journal of Radiation Oncology
基金 国家自然科学基金青年基金,山东省自然科学基金基金项目:国家自然科学基金青年基金(81101699) 山东省自然科学基金(ZR2011HL059)
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