立体定向放疗在非小细胞肺癌治疗中的应用

被引：14

作者：

董百强

陈明

机构：

[1] 杭州,浙江省肿瘤医院放疗科浙江省放射肿瘤重点实验室

来源：

中华放射医学与防护杂志 | 2016年 / 36卷 / 10期

关键词：

立体定向放射治疗; 非小细胞肺癌; 不良反应;

D O I：

暂无

中图分类号：

R734.2 [肺肿瘤];

学科分类号：

100117 [系统生物医学];

摘要：

体部立体定向放疗(stereotactic body radiation therapy, SBRT)是指应用单次或少数多次给予靶区高剂量照射的治疗方式。和常规放疗相比, 具有分割剂量大、精度高等特点。其在肺部肿瘤中的应用可归纳为以下3点:①对于因高龄或合并严重心肺等内科疾病不能手术或不愿接受手术的早期(T1-2N0M0)非小细胞肺癌(non-small cell lung cancer, NSCLC), SBRT已确立标准治疗的地位。②对于可手术的早期NSCLC, SBRT初步应用的结果并不逊于手术。③对于肺内孤立转移灶(1～3个), 在全身治疗的基础上给与SBRT已逐步被接受。本文对此作一综述。

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