Lo Simon S, Teh Bin S, Mayr Nina A, Olencki Thomas E, Wang Jian Z, Grecula John C, Lu Jiade J, Timmerman Robert D
Department of Radiation Oncology, Arthur G. James Cancer Hospital, Ohio State University, Columbus, Ohio 43210, USA.
Discov Med. 2010 Sep;10(52):247-54.
There are data in the literature to suggest the presence of an oligometastatic state, and local aggressive therapy of the oligometastases may improve outcomes including survival. Stereotactic body radiation therapy has emerged as one of the local therapy options for oligometastases in various body sites, most commonly in the lung and the liver. Retrospective studies and clinical trials have demonstrated promising results with the use of stereotactic body radiation therapy for oligometastases. However, most of the studies have relatively short follow-up intervals. Longer follow-up is necessary to better define the role of stereotactic body radiation therapy in the management of patients with oligometastases. Given the high propensity for distant progression, the combination of novel systemic therapy and stereotactic body radiation therapy is to be explored.
文献中有数据表明存在寡转移状态,对寡转移灶进行局部积极治疗可能改善包括生存在内的预后。立体定向体部放射治疗已成为身体各个部位寡转移灶的局部治疗选择之一,最常见于肺部和肝脏。回顾性研究和临床试验已证明使用立体定向体部放射治疗寡转移灶取得了令人鼓舞的结果。然而,大多数研究的随访间隔相对较短。需要更长时间的随访来更好地确定立体定向体部放射治疗在寡转移患者管理中的作用。鉴于远处进展的高倾向性,新型全身治疗与立体定向体部放射治疗的联合应用有待探索。