Department of Neurosurgery, University of Colorado School of Medicine, Aurora, CO 80045, USA.
Neurosurg Clin N Am. 2012 Jul;23(3):429-37. doi: 10.1016/j.nec.2012.04.005. Epub 2012 Jun 5.
High-grade glioma continues to impart poor prognosis in spite of maximal treatment. Attempted gross total surgical resection followed by concurrent temozolomide and radiation therapy has become standard of care for glioblastoma. Ongoing clinical efforts have been directed at the further development of radiosensitizing agents that exploit tumor biology to maximize effects of concurrently administered radiation. The current article outlines the scientific rationale for the use of radiosensitizing agents and preliminary results from clinical trials using a variety of these approaches.
尽管进行了最大限度的治疗,高级别胶质瘤仍然预后不良。最大程度的手术切除,然后进行替莫唑胺和放疗已成为胶质母细胞瘤的标准治疗方法。目前的临床工作重点是进一步开发放射增敏剂,利用肿瘤生物学来最大限度地提高同时给予的放射治疗效果。本文概述了使用放射增敏剂的科学依据,并介绍了使用各种方法的临床试验的初步结果。