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口腔和口咽癌的放射治疗

Radiation Therapy for Oral Cavity and Oropharyngeal Cancers.

作者信息

Lin Alexander

机构信息

Department of Radiation Oncology, Perelman School of Medicine, University of Pennsylvania, 3400 Civic Center Boulevard, TRC 2-West, Philadelphia, PA 19104, USA.

出版信息

Dent Clin North Am. 2018 Jan;62(1):99-109. doi: 10.1016/j.cden.2017.08.007. Epub 2017 Oct 7.

Abstract

Radiotherapy is a key therapeutic modality used in the treatment of oral cavity and oropharyngeal cancers, whether as definitive treatment or postoperatively for those with high-risk factors after surgery. Although radiotherapy is a proven, effective treatment of cancer control, it can result in significant acute and late toxicities. Pretreatment patient education, supportive care, and posttreatment adherence to rehabilitative and preventive care can help mitigate toxicities. Advances in radiation delivery, such as through continued technological advances, or novel approaches to customizing radiation dose and volume, to maximize the therapeutic efficacy while minimizing side effects, are warranted.

摘要

放射治疗是口腔癌和口咽癌治疗中的关键治疗方式,无论是作为根治性治疗,还是用于术后有高危因素患者的辅助治疗。尽管放射治疗是一种经证实有效的癌症控制手段,但它会导致显著的急性和晚期毒性反应。治疗前对患者进行教育、提供支持性护理,以及治疗后坚持康复和预防性护理,有助于减轻毒性反应。有必要在放射治疗方面取得进展,比如通过持续的技术进步,或采用定制放射剂量和体积的新方法,以在将副作用降至最低的同时最大化治疗效果。

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