放射肿瘤急症。

Radiation Oncology Emergencies.

机构信息

Department of Radiation Oncology, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA.

出版信息

Hematol Oncol Clin North Am. 2020 Feb;34(1):279-292. doi: 10.1016/j.hoc.2019.09.004. Epub 2019 Oct 31.

DOI:10.1016/j.hoc.2019.09.004

PMID:31739948

Abstract

This article reviews the most common oncologic emergencies encountered by the radiation oncologist, including malignant spinal cord compression, intramedullary spinal cord metastasis, superior vena cava syndrome, hemoptysis, and airway compromise caused by tumor. Important trials evaluating different treatments for these emergencies are reviewed. The role of corticosteroids, surgery, chemotherapy, and radiation therapy in these patients is discussed and patient-specific treatment guidelines are suggested.

摘要

这篇文章回顾了放射肿瘤学家最常遇到的常见肿瘤急症，包括恶性脊髓压迫症、脊髓内转移瘤、上腔静脉综合征、咯血和肿瘤引起的气道阻塞。回顾了评估这些急症不同治疗方法的重要试验。讨论了皮质类固醇、手术、化疗和放射治疗在这些患者中的作用，并提出了针对具体患者的治疗指南。