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放疗联合表浅和腔内热疗治疗实体肿瘤:生存和热参数。

Radiotherapy in conjunction with superficial and intracavitary hyperthermia for the treatment of solid tumors: survival and thermal parameters.

机构信息

Radiotherapy Unit, 2nd Department Radiology, Medical School, ATTIKON Hospital, Athens University, Athens, Greece.

出版信息

Clin Transl Oncol. 2013 Feb;15(2):95-105. doi: 10.1007/s12094-012-0947-3. Epub 2012 Nov 21.

Abstract

Hyperthermia is an effective modality for the treatment of cancer, which is mainly used in conjunction with radiotherapy as this combined treatment offers a better clinical outcome. There are many ways that hyperthermia can be applied and depends on the kind of tumor of the patients. The great advantage of this method is that it is tolerable for the majority of patients without severe toxicity. Many clinical trials have been realized in order to prove that hyperthermia in addition to radiotherapy offers an advantage in the survival and local control of patients in comparison to radiotherapy alone. Many studies have also investigated if exists any correlation between the thermal parameters of hyperthermia and the clinical outcome. This is a review of these studies and it concerns superficial hyperthermia for superficial tumors-melanoma, head and neck, breast cancer-and intracavitary hyperthermia for rectal cancer, esophageal cancer and prostate carcinoma.

摘要

热疗是一种有效的癌症治疗方式,主要与放疗联合使用,因为这种联合治疗可以提供更好的临床效果。热疗有很多种应用方式,取决于患者的肿瘤类型。这种方法的最大优点是大多数患者都能耐受,没有严重的毒性。为了证明热疗与放疗联合应用相对于单纯放疗在患者的生存和局部控制方面具有优势,已经进行了许多临床试验。许多研究还探讨了热疗的热学参数与临床结果之间是否存在相关性。这是对这些研究的综述,涉及表浅肿瘤(黑色素瘤、头颈部、乳腺癌)的表浅热疗和腔内肿瘤(直肠癌、食管癌、前列腺癌)的腔内热疗。

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