Chapet O, Enachescu C, Lorchel F
Service de radiothérapie oncologie, centre hospitalier Lyon Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France.
Cancer Radiother. 2013 Oct;17(5-6):562-5. doi: 10.1016/j.canrad.2013.07.133. Epub 2013 Aug 29.
External beam radiotherapy alone is a standard treatment for prostate cancer. According to clinical, histological and biological characteristics of the tumour, lymph node irradiation can be done in combination with irradiation of the prostate. The completion of pelvic irradiation remains controversial and may cause complications by increasing volumes of irradiated healthy tissues. The accuracy of the delineation of lymph node becomes an important issue. This article proposes to take on the characteristics of the pelvic lymph node drainage of the prostate, to review the literature on pelvic irradiation and the definition of volumes to be irradiated.
单纯外照射放疗是前列腺癌的标准治疗方法。根据肿瘤的临床、组织学和生物学特征,可将淋巴结照射与前列腺照射联合进行。盆腔照射的完成情况仍存在争议,且可能因增加受照射健康组织的体积而导致并发症。淋巴结勾画的准确性成为一个重要问题。本文旨在探讨前列腺盆腔淋巴结引流的特点,回顾盆腔照射的相关文献以及待照射体积的定义。