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Phys Imaging Radiat Oncol. 2019 Apr 24;10:14-18. doi: 10.1016/j.phro.2019.04.006. eCollection 2019 Apr.
2
A case report of a patient with bulky uterine cervical neoplasm who achieved complete response with "intentional internal high-dose policy" high-dose-rate interstitial brachytherapy.一例患有巨大宫颈肿瘤的患者通过“有意的内部高剂量策略”高剂量率组织间近距离放射治疗实现完全缓解的病例报告。
Medicine (Baltimore). 2020 Jul 2;99(27):e20860. doi: 10.1097/MD.0000000000020860.
3
Radiation Therapy for Cervical Cancer: Executive Summary of an ASTRO Clinical Practice Guideline.宫颈癌放射治疗：ASTRO 临床实践指南摘要。
Pract Radiat Oncol. 2020 Jul-Aug;10(4):220-234. doi: 10.1016/j.prro.2020.04.002. Epub 2020 May 18.
4
Ring Versus Ovoids and Intracavitary Versus Intracavitary-Interstitial Applicators in Cervical Cancer Brachytherapy: Results From the EMBRACE I Study.宫颈癌近距离放疗中环形与椭圆形施源器、腔内与腔内-间质施源器的比较：EMBRACE I 研究结果。
Int J Radiat Oncol Biol Phys. 2020 Apr 1;106(5):1052-1062. doi: 10.1016/j.ijrobp.2019.12.019. Epub 2020 Jan 30.
5
Intensity-modulated radiation therapy for definitive treatment of cervical cancer: a meta-analysis.调强放疗根治宫颈癌的Meta 分析
Radiat Oncol. 2018 Sep 14;13(1):177. doi: 10.1186/s13014-018-1126-7.
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Prophylactic Extended-Field Irradiation for Patients With Cervical Cancer Treated With Concurrent Chemoradiotherapy: A Propensity-Score Matching Analysis.同期放化疗治疗宫颈癌患者的预防性扩展野照射：倾向评分匹配分析。
Int J Gynecol Cancer. 2018 Oct;28(8):1584-1591. doi: 10.1097/IGC.0000000000001344.
7
A Prospective Comparison of Computed Tomography with Transrectal Ultrasonography Assistance and Magnetic Resonance Imaging-Based Target-Volume Definition During Image Guided Adaptive Brachytherapy for Cervical Cancers.一种前瞻性比较研究：在影像引导自适应近距离放射治疗宫颈癌时，与经直肠超声辅助和基于磁共振成像的靶区定义相比。
Int J Radiat Oncol Biol Phys. 2018 Dec 1;102(5):1448-1456. doi: 10.1016/j.ijrobp.2018.05.080. Epub 2018 Jun 7.
8
National Cancer Grid of India Consensus Guidelines on the Management of Cervical Cancer.印度国家癌症网格宫颈癌管理共识指南
J Glob Oncol. 2018 Jul;4:1-15. doi: 10.1200/JGO.17.00152.
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Radiation Therapy Availability in Africa and Latin America: Two Models of Low and Middle Income Countries.非洲和拉丁美洲的放射治疗可及性：中低收入国家的两种模式。
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Patient-Reported Toxicity During Pelvic Intensity-Modulated Radiation Therapy: NRG Oncology-RTOG 1203.盆腔强度调制放疗期间的患者报告毒性：NRG 肿瘤学-RTOG 1203。
J Clin Oncol. 2018 Aug 20;36(24):2538-2544. doi: 10.1200/JCO.2017.77.4273. Epub 2018 Jul 10.

宫颈癌放疗：智利放射肿瘤学会共识

Radiotherapy for cervical cancer: Chilean consensus of the Society of Radiation Oncology.

作者信息

Carvajal Felipe, Carvajal Claudia, Merino Tomás, López Verónica, Retamales Javier, Martín Evelyn San, Alarcón Freddy, Cuevas Mónica, Barahona Francisca, Véliz Ignacio, Ríos Juvenal A, Becerra Sergio

机构信息

Departamento de Radio Oncología, Instituto Nacional del Cáncer, Santiago, Chile.

Departamento de Oncología Básico Clínica, Facultad de Medicina, Universidad de Chile, Santiago, Chile.

出版信息

Rep Pract Oncol Radiother. 2021 Apr 14;26(2):291-302. doi: 10.5603/RPOR.a2021.0025. eCollection 2021.

DOI:10.5603/RPOR.a2021.0025
PMID:34211780
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8241307/
Abstract

BACKGROUND

Cervical cancer is a public health problem in Latin America. Radiotherapy plays a fundamental role both as definitive or adjuvant treatment. There are important intra and inter-country differences regarding access and availability of radiotherapy facilities in this region. The aim of a study was to standardize the basic clinical and technical criteria for the radiation treatment of patients with CC in Chile and provide a guide for Latin American Radiation Oncologists.

MATERIALS AND METHODS

Forty-one expert radiation oncologists from the Chilean Radiation Oncology Society made a consensus using the Delphi methodology.

RESULTS

There was a high degree of agreement for each of the recommendations. Those with the lowest percentage were related to the definition of the conformal 3D technique as the standard for definitive external radiotherapy (81%) and the criteria for extended nodal irradiation (85%).

CONCLUSIONS

These recommendations present an updated guide for radiotherapy treatment of patients with cervical cancer for Latin America. Those should be implemented according to local resources of each institution.

摘要

背景

宫颈癌是拉丁美洲的一个公共卫生问题。放射治疗作为根治性或辅助性治疗都起着重要作用。该地区在放疗设施的可及性和可用性方面存在重要的国家内部和国家之间的差异。一项研究的目的是规范智利宫颈癌患者放射治疗的基本临床和技术标准，并为拉丁美洲放射肿瘤学家提供指导。

材料与方法

智利放射肿瘤学会的41名放射肿瘤学专家使用德尔菲法达成了共识。

结果

对每项建议都有高度的一致性。百分比最低的建议涉及将适形3D技术定义为根治性外照射放疗的标准（81%）以及扩大野淋巴结照射的标准（85%）。

结论

这些建议为拉丁美洲宫颈癌患者的放射治疗提供了一份最新指南。应根据各机构的当地资源来实施这些建议。