Rapeaud E, Meynard C, Lecante F, Durdux C
Service d'oncologie-radiothérapie, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France.
Service d'oncologie-radiothérapie, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France.
Cancer Radiother. 2021 Oct;25(6-7):707-712. doi: 10.1016/j.canrad.2021.06.021. Epub 2021 Jul 12.
Conventional radiotherapy is a pivotal treatment in the management of bone metastasis. It is indicated primarily for palliative, analgesic, or decompressive purposes and in the prevention of severe bone events such as fractures and spinal cord compressions. It should be performed as early as possible from the onset of symptoms or within 14days following a surgical procedure of decompression or bone stabilization. Except in some cases, a pattern of 8Gy single dose is currently recommended, possibly renewable, by being vigilant on associated treatments which some, like antiangiogenics, must be imperatively suspended.
传统放射治疗是骨转移瘤治疗的关键手段。其主要用于姑息、止痛或减压目的,以及预防严重骨事件,如骨折和脊髓压迫。应在症状出现后尽早进行,或在减压或骨稳定手术术后14天内进行。除某些情况外,目前推荐单次剂量8Gy的照射模式,必要时可重复照射,同时要注意相关治疗,如某些抗血管生成药物等必须在放疗期间停用。