Igaki Hiroshi
Department of Radiation Oncology, National Cancer Center Hospital.
No Shinkei Geka. 2021 May;49(3):575-587. doi: 10.11477/mf.1436204431.
Gliomas are infiltrative tumors that are difficult to cure by surgery alone. Postoperative radiotherapy or chemoradiotherapy is the treatment option for patients with high-grade gliomas. However, most pathological types of glioma other than glioblastoma do not have enough evidence, especially concerning the dose-fractionation scheme and clinical target volume definition for radiotherapy. This study presents standard methods of radiotherapy for each pathological type of glioma and recent radiotherapy technologies including their significance and treatment results.
胶质瘤是浸润性肿瘤，仅靠手术难以治愈。术后放疗或放化疗是高级别胶质瘤患者的治疗选择。然而，除胶质母细胞瘤外，大多数胶质瘤病理类型尚无足够证据，尤其是关于放疗的剂量分割方案和临床靶区定义。本研究介绍了每种胶质瘤病理类型的放疗标准方法以及包括其意义和治疗结果在内的最新放疗技术。
