Department of Therapeutic Radiology, Yale School of Medicine, 35 Park Street, New Haven, CT 06519, USA.
Harvard Radiation Oncology Program, Massachusetts General Hospital, Boston, MA, USA.
Urol Clin North Am. 2020 Aug;47(3):399-411. doi: 10.1016/j.ucl.2020.04.011. Epub 2020 Jun 8.
Stereotactic radiosurgery and stereotactic body radiation therapy (SBRT) have led to a resurgence of the use of radiotherapy in the management of advanced renal cell carcinoma (RCC). These techniques provide excellent local control and palliation of metastatic sites of disease with minimal toxicity. Additionally, SBRT to the primary tumor may be efficacious and well tolerated in select patients that are not surgical candidates. Emerging data suggest that SBRT may potentiate the immune response, and current and future study will evaluate if SBRT can improve survival outcomes in patients with metastatic RCC.
立体定向放射外科和立体定向体部放射治疗(SBRT)使得放射治疗在晚期肾细胞癌(RCC)的治疗中重新得到应用。这些技术提供了极好的局部控制和转移部位疾病的姑息治疗,同时毒性最小。此外,对于不适合手术的特定患者,对原发性肿瘤进行 SBRT 可能是有效且耐受良好的。新出现的数据表明,SBRT 可能增强免疫反应,目前和未来的研究将评估 SBRT 是否可以改善转移性 RCC 患者的生存结果。