Bledsoe Trevor J, Nath Sameer K, Decker Roy H
Department of Therapeutic Radiology, Smilow Cancer Hospital at Yale-New Haven, 35 Park Street, Ste LL 513, New Haven, CT 06511, USA.
Department of Therapeutic Radiology, Smilow Cancer Hospital at Yale-New Haven, 35 Park Street, Ste LL 513, New Haven, CT 06511, USA.
Clin Chest Med. 2017 Jun;38(2):201-208. doi: 10.1016/j.ccm.2016.12.004. Epub 2017 Mar 1.
Radiation-induced lung injury is a well-known complication of thoracic radiation for patients with breast, lung, thymic, and esophageal malignancies, and mediastinal lymphomas. Improvements in radiation technique, as well as the understanding of the pathophysiology of radiation injury, have led to lower rates of pneumonitis and improved symptom control. Here, the authors provide an overview of the pathophysiology, diagnosis, and management of patients with radiation pneumonitis as a complication of treatment of chest malignancies.
放射性肺损伤是乳腺癌、肺癌、胸腺瘤、食管癌以及纵隔淋巴瘤患者胸部放疗后一种广为人知的并发症。放疗技术的改进以及对放射损伤病理生理学的认识,已使肺炎发生率降低,症状控制得到改善。在此,作者概述了作为胸部恶性肿瘤治疗并发症的放射性肺炎患者的病理生理学、诊断及管理。