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肺癌立体定向放射治疗的初步研究

Preliminary study of stereotactic radiotherapy for lung cancer.

作者信息

Hu G, Yu S, Chen Y, Huang H, Hu C

机构信息

Department of Oncology, Tongji Hospital, Tongji Medical University, Wuhan 430030.

出版信息

J Tongji Med Univ. 2000;20(4):318-9. doi: 10.1007/BF02888190.

DOI:10.1007/BF02888190
PMID:12840922
Abstract

From March 1997 to November 1999, 45 patients with lung cancer were treated by a stereotactic radiotherapy, with 15 cases treated by a stereotactic radiotherapy alone, and 30 cases by the external radiotherapy plus stereotactic radiotherapy. The clinical target volume was 1.89-187.26 cm3 with the median being 18.17 cm3. The doses of plan target volume (PTV) edge was 16-30 Gy/2-3 times and the doses of center was 120% to 150% of PTV edge doses. The overall response rate was 84.4% (38/45), with 11 complete response (CR) and 27 partial response (PR). This study confirmed that the stereotactic radiotherapy is a safe and effective therapy for lung cancer. For those early-stage patients who can tolerate neither operation nor even conventional radiotherapy for various reasons, it can both achieve therapeutic purpose and improve quality of life.

摘要

1997年3月至1999年11月,45例肺癌患者接受了立体定向放射治疗,其中15例仅接受立体定向放射治疗,30例接受外照射加立体定向放射治疗。临床靶体积为1.89 - 187.26 cm³,中位数为18.17 cm³。计划靶体积(PTV)边缘剂量为16 - 30 Gy/2 - 3次,中心剂量为PTV边缘剂量的120%至150%。总有效率为84.4%(38/45),其中完全缓解(CR)11例,部分缓解(PR)27例。本研究证实立体定向放射治疗是一种安全有效的肺癌治疗方法。对于那些因各种原因既不能耐受手术甚至也不能耐受传统放疗的早期患者,它既能达到治疗目的又能提高生活质量。

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本文引用的文献

1
Dose escalation of chart in non-small cell lung cancer: is three-dimensional conformal radiation therapy really necessary?非小细胞肺癌中计划剂量递增:三维适形放射治疗真的有必要吗?
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2
Dose escalation for non-small cell lung cancer using conformal radiation therapy.使用适形放射疗法对非小细胞肺癌进行剂量递增。
Int J Radiat Oncol Biol Phys. 1997 Mar 15;37(5):1079-85. doi: 10.1016/s0360-3016(96)00593-7.
3
Stereotactic radiotherapy of malignancies in the abdomen. Methodological aspects.
腹部恶性肿瘤的立体定向放射治疗。方法学方面。
Acta Oncol. 1994;33(6):677-83. doi: 10.3109/02841869409121782.
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Fractionated stereotactic radiation therapy for intracranial tumors.颅内肿瘤的分次立体定向放射治疗。
Cancer. 1991 Nov 15;68(10):2101-8. doi: 10.1002/1097-0142(19911115)68:10<2101::aid-cncr2820681003>3.0.co;2-c.
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ASTRO (American Society for Therapeutic Radiology and Oncology) plenary: Effect of chemotherapy on locally advanced non-small cell lung carcinoma: a randomized study of 353 patients. GETCB (Groupe d'Etude et Traitement des Cancers Bronchiques), FNCLCC (Féderation Nationale des Centres de Lutte contre le Cancer) and the CEBI trialists.
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