Bleher E A, Veraguth P C, Wagner H P
Monatsschr Kinderheilkd. 1982 Dec;130(12):876-80.
Radiotherapy of tumors in children together with surgery and chemotherapy is an important part of therapy in the multimodal approach. Since the radiotherapy of such children requires special technical as well as psychological know-how, this should only be undertaken in larger centers. The indications for using such radiation should be very strict because of the direct and longterm effects on the growing organs, and the benefits carefully weighed against the risks. It is the function of a multidisciplinary tumor team to estimate these risks. Changes in current standard therapy, as unilateral reduction in radiotherapy, should only be undertaken in controlled randomised trials.
儿童肿瘤的放射治疗与手术和化疗一起,是多模式治疗方法的重要组成部分。由于对这类儿童进行放射治疗需要特殊的技术和心理知识,因此应该只在较大的中心进行。由于对生长中的器官有直接和长期影响,使用这种辐射的指征应该非常严格,并且要仔细权衡益处与风险。评估这些风险是多学科肿瘤团队的职责。当前标准治疗的改变,如放疗的单侧减少,应该只在对照随机试验中进行。