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
Departamento de Radio Oncología, Instituto Nacional del Cáncer, Santiago, Chile.
Departamento de Oncología Básico Clínica, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
Rep Pract Oncol Radiother. 2021 Apr 14;26(2):291-302. doi: 10.5603/RPOR.a2021.0025. eCollection 2021.
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.
Forty-one expert radiation oncologists from the Chilean Radiation Oncology Society made a consensus using the Delphi methodology.
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%).
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.
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。
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。
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%)。
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。