Müller R P, Schmidt H, Fischedick A R
Strahlentherapie. 1983 Oct;159(10):595-601.
Twenty-two own cases are presented in order to describe the clinical manifestations and therapy, especially the postoperative radiotherapy, in case of carcinomas of the upper urinary tract. The authors agree with literature to recommend a high voltage radiotherapy with 45 Gy to the regional lymph node groups and with 50 to 55 Gy to the former tumor region in case of all tumors with infiltrating growth, of demonstrated lymph node metastases and of subtotally removed primary tumors. Radiotherapy should become an essential part of the therapeutic conception for carcinomas of the renal pelvis and of the ureter because of the nearly complete absence of side effects and the small rate of local recurrences.
本文报告22例自身病例,以描述上尿路癌的临床表现及治疗方法,尤其是术后放疗。作者同意文献观点,对于所有浸润性生长、已证实有淋巴结转移及原发肿瘤次全切除的肿瘤,推荐采用高电压放疗,区域淋巴结组剂量为45 Gy,原肿瘤区域剂量为50至55 Gy。由于几乎没有副作用且局部复发率低,放疗应成为肾盂癌和输尿管癌治疗方案的重要组成部分。