Mallick Indranil, Waldron John N
Department of Radiation Oncology, Princess Margaret Hospital, 610 University Ave.,Toronto, Ontario, Canada.
Semin Oncol Nurs. 2009 Aug;25(3):193-202. doi: 10.1016/j.soncn.2009.05.002.
To provide an overview of the state of the art in the management of head and neck cancers with radiation therapy (RT) and review issues concerning dose-fractionation, concurrent systemic treatment as well as acute and chronic toxicity.
Published peer-reviewed research articles, technical documents, and patient management guidelines.
Modern RT techniques can use technical advances to precisely target regions involved by the tumor, while sparing normal structures. This has significant implications for treatment decisions and anticipated treatment toxicities. Our understanding of radiation effects on tumor and normal tissues and their optimal care are continuously evolving.
Nurses need to be aware of the basic principles underlying the technical advances in RT in order to be able to counsel patients during their decision-making and treatment. They also need to stay updated on the pathophysiology and current management of acute and chronic toxicities of radiation treatment in order to provide optimal supportive care.
概述头颈部癌放射治疗（RT）的最新管理状况，并回顾有关剂量分割、同步全身治疗以及急性和慢性毒性的问题。
已发表的同行评审研究文章、技术文件和患者管理指南。
现代放疗技术可利用技术进步精确靶向肿瘤累及区域，同时保护正常组织。这对治疗决策和预期治疗毒性具有重要意义。我们对辐射对肿瘤和正常组织的影响及其最佳护理的理解在不断发展。
护士需要了解放疗技术进步的基本原则，以便在患者决策和治疗期间为其提供咨询。他们还需要随时了解放射治疗急性和慢性毒性的病理生理学及当前管理方法，以提供最佳的支持性护理。
