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卵巢癌的放射治疗——重新定义其作用

Radiotherapy for ovarian cancers - redefining the role.

作者信息

Rai Bhavana, Bansal Anshuma, Patel Firuza Darius, Sharma Suresh Chander

机构信息

Department of Radiotherapy and Oncology and Regional Cancer Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India E-mail :

出版信息

Asian Pac J Cancer Prev. 2014;15(12):4759-63. doi: 10.7314/apjcp.2014.15.12.4759.

DOI:10.7314/apjcp.2014.15.12.4759
PMID:24998538
Abstract

Radiation therapy in ovarian cancers has been considered an outdated concept for many years, mainly due to toxicity and failure to show benefit in terms of survival. Chemotherapy has been extensively used after surgery for these cancers and it has almost replaced radiation therapy as an adjuvant treatment. Nevertheless, failures in ovarian cancers continue to occur even with the use of newer and effective chemotherapy regimens. About 70% patients demonstrate recurrence in the abdomen or pelvis after first line chemotherapy in ovarian cancers. With advances in technology and sophistication of radiation techniques, along with the molecular and biological knowledge of distinct histological subtypes, there is a need to redefine the role of radiation therapy. This review article focuses on the literature on use of radiation in ovarian cancers and its rationale and indications in the present day. For this, a literature pub med/medline search was performed from January 1975 to March 2014 to redefine the role of radiotherapy in ovarian cancers.

摘要

多年来,放射治疗在卵巢癌治疗中一直被视为过时的概念,主要是因为其毒性以及未能在生存方面显示出益处。化疗在这些癌症手术后被广泛应用,并且几乎已取代放射治疗成为辅助治疗手段。然而,即便使用更新且有效的化疗方案,卵巢癌仍会出现复发情况。约70%的卵巢癌患者在一线化疗后会出现腹部或盆腔复发。随着技术进步和放射技术的精细化,以及对不同组织学亚型分子和生物学认识的深入,有必要重新界定放射治疗的作用。这篇综述文章聚焦于卵巢癌放射治疗的相关文献及其当今的理论依据和适应证。为此,我们在1975年1月至2014年3月期间进行了PubMed/Medline文献检索,以重新界定放射治疗在卵巢癌中的作用。

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1
Radiotherapy for ovarian cancers - redefining the role.卵巢癌的放射治疗——重新定义其作用
Asian Pac J Cancer Prev. 2014;15(12):4759-63. doi: 10.7314/apjcp.2014.15.12.4759.
2
Is It Time to Reassess the Role of Radiotherapy Treatment in Ovarian Cancer?是时候重新评估放射治疗在卵巢癌治疗中的作用了吗?
Healthcare (Basel). 2023 Aug 28;11(17):2413. doi: 10.3390/healthcare11172413.
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Results of post-operative abdomino-pelvic radiotherapy in intermediate- and high-risk epithelial ovarian carcinoma.中高危上皮性卵巢癌术后腹盆腔放疗的结果
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Is adjuvant radiotherapy in early stages (FIGO I-II) of epithelial ovarian cancer a treatment of the past?上皮性卵巢癌早期(国际妇产科联盟分期I-II期)的辅助放疗是否已成为过去式?
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Role of radiation therapy.放射治疗的作用。
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Whole abdominal radiotherapy following second-look laparotomy for ovarian carcinoma.卵巢癌二次剖腹探查术后的全腹放疗。
Gynecol Oncol. 1999 Oct;75(1):62-7. doi: 10.1006/gyno.1999.5541.
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Consolidation radiotherapy after carboplatin-based chemotherapy in radically operated advanced ovarian cancer.基于卡铂的化疗后对根治性手术的晚期卵巢癌进行巩固放疗。
Gynecol Oncol. 1999 Feb;72(2):215-9. doi: 10.1006/gyno.1998.5184.
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[Radiotherapy in the treatment of ovarian epithelial carcinoma].[放射疗法在卵巢上皮癌治疗中的应用]
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Selective irradiation for the treatment of recurrent ovarian carcinoma involving the vagina or rectum.选择性照射治疗累及阴道或直肠的复发性卵巢癌。
Gynecol Oncol. 2001 Feb;80(2):213-20. doi: 10.1006/gyno.2000.6059.
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Long-term survival of 106 stage III ovarian cancer patients with minimal residual disease after second-look laparotomy and consolidation radiotherapy.106例Ⅲ期卵巢癌患者在二次剖腹探查及巩固性放疗后伴有微小残留病灶的长期生存情况。
Gynecol Oncol. 2007 Jan;104(1):104-8. doi: 10.1016/j.ygyno.2006.07.034. Epub 2006 Sep 20.

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Betulinic Acid Suppresses Ovarian Cancer Cell Proliferation through Induction of Apoptosis.桦木酸通过诱导细胞凋亡抑制卵巢癌细胞增殖。
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Resensitization of cisplatin resistance ovarian cancer cells to cisplatin through pretreatment with low-dose fraction radiation.通过低剂量分割放疗预处理使顺铂耐药卵巢癌细胞对顺铂重新敏感。
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