Kumar P P, Good R R, Jones E O, McCaul G F, McAnulty B E, Rogers S S, Reeves M A
Department of Radiology, University of Nebraska College of Medicine, Omaha 68105.
Radiat Med. 1988 Jan-Feb;6(1):17-22.
Postoperative irradiation of the chest wall and regional lymphatics following mastectomy for operable breast carcinoma is an effective means of reducing the chance of postoperative locoregional recurrence. The majority of patients who fail will ultimately develop bony metastases, especially in the thoracic and lumbar spinal regions. Our technique of postoperative irradiation avoids exit irradiation of the spine. This is important for patients who may later develop bony metastases or epidural spinal cord compression and require spinal irradiation. The details of the technique are presented.
对可手术乳腺癌行乳房切除术后进行胸壁和区域淋巴结的术后放疗是降低术后局部区域复发几率的有效方法。大多数治疗失败的患者最终会发生骨转移，尤其是在胸椎和腰椎区域。我们的术后放疗技术可避免脊柱的出射照射。这对于那些日后可能发生骨转移或硬膜外脊髓压迫而需要进行脊柱放疗的患者来说很重要。现将该技术的细节予以介绍。
