Pourel N
Département de radiothérapie, institut Sainte-Catherine, 250, chemin de Baigne-Pieds, CS80005, 84918 Avignon cedex 9, France.
Cancer Radiother. 2016 Oct;20(6-7):547-57. doi: 10.1016/j.canrad.2016.07.092. Epub 2016 Sep 7.
Radiotherapy for small cell lung carcinoma has known significant improvements over the past 10 years especially through routine use of PET-CT in the initial work-up and contouring before treatment. Prophylactic cranial irradiation remains a standard of care for locally advanced disease and is a subject of controversy for metastatic disease. A new indication for thoracic radiotherapy may soon arise for metastatic disease, still confirmation studies are ongoing.
在过去10年中,小细胞肺癌的放射治疗有了显著改善,特别是通过在初始检查和治疗前轮廓勾画中常规使用PET-CT。预防性颅脑照射仍然是局部晚期疾病的标准治疗方法,对于转移性疾病则存在争议。针对转移性疾病,胸部放疗可能很快会出现新的适应证,不过相关验证研究仍在进行中。