Joseph K. Salama, Duke University, Durham, NC; and Michael T. Milano, University of Rochester, Rochester, NY.
J Clin Oncol. 2014 Sep 10;32(26):2902-12. doi: 10.1200/JCO.2014.55.9567. Epub 2014 Aug 11.
Advances in radiotherapy planning and delivery have been used to treat patients with limited metastatic disease. With these techniques, high rates of treated metastasis control and low toxicity have been reported. Some patients have long disease-free intervals after radiotherapy similar to those seen after surgical resection. Ongoing studies will determine the benefit of these irradiation techniques to treat limited metastases, identify appropriate candidates, and assist in integrating these treatments into management strategies for specific diseases.
放射治疗计划和实施方面的进展已被用于治疗转移性疾病有限的患者。这些技术报告了较高的转移灶控制率和较低的毒性。一些患者在放射治疗后有与手术切除相似的长时间无疾病间隔。正在进行的研究将确定这些照射技术治疗局限性转移的益处,确定合适的患者,并协助将这些治疗方法纳入特定疾病的管理策略中。