Donato V, De Pascalis G, Morrone A
U.O.C. Radiation Oncology, Ospedale San Camillo-Forlanini, Rome, Italy.
Clin Ter. 2013;164(1):e45-51. doi: 10.7417/CT.2013.1521.
Long-term survival after organ transplantation is increasing. As a result, many physicians may encounter various solid organ cancers during follow up. We review papers who address their attention on those malignancies and their treatment. Aim of this work is to discuss the role of radiotherapy especially when helped by new technologies in the management of brain, skin, head and neck, lung, breast, prostate and anal cancer. In our institution we are used to treat such patients by Helical Tomotherapy in order to avoid graft and to limit high risk toxicity. As example, we include a scalp and pelvic irradiation in which high dose conformality is linked to best organ sparing.
器官移植后的长期生存率正在提高。因此,许多医生在随访过程中可能会遇到各种实体器官癌症。我们回顾了关注这些恶性肿瘤及其治疗的论文。这项工作的目的是讨论放射治疗的作用,特别是在新技术辅助下对脑癌、皮肤癌、头颈癌、肺癌、乳腺癌、前列腺癌和肛门癌的治疗作用。在我们机构,我们习惯于使用螺旋断层放射治疗来治疗此类患者,以避免移植并限制高风险毒性。例如,我们纳入了头皮和盆腔照射,其中高剂量适形性与最佳器官保护相关。