从放射性盆腔病概念的产生看疾病整体治疗的重要性

Radiation pelvicopathy: a comprehensive and interdisciplinary approach

放疗已成为肿瘤多学科治疗的重要组成,尽管放疗技术在不断发展,但其不良反应仍十分常见。文中介绍放射性盆腔病概念的产生,即由传统概念放射性肠炎转变为盆腔放射病,2015年,为更能正确反映疾病过程及病理特征,又提出了放射性盆腔病(Radiation pelvicopathy)的概念,旨在强调盆腔放射性损伤的整体治疗。

Radiotherapy is frequently employed as part of the multimodal treatment of cancers. Despite recent advances in irradiation techniques,radiation-induced side effects are more common. Radiation enteritis is a term traditionally used to define injury to the small intestine resulting from radiotherapy. The radiotherapy could induce damage of pelvic normal tissue. The most patients with radiation enteritits may also have co-existing radiation-induced damage of pelvic other tissue or organ. The radiation enteritis was managed,however,the therapy of pelvic damaged tissue or organ were ignored. Therefore,in 2015,we proposed the concept of radiation pelvicopathy which is most accurate description of the disease process and pathological characteristics. The purpose is to emphasize the interdisciplinary approach of pelvic radiation damage.