Goldschmidt H, Breneman J C, Breneman D L
Department of Dermatology, University of Pennsylvania Medical School, Philadelphia.
J Am Acad Dermatol. 1994 Feb;30(2 Pt 1):157-82; quiz 183-6. doi: 10.1016/s0190-9622(94)70014-1.
The introduction of new surgical techniques and other therapeutic modalities has markedly influenced the use of ionizing radiation therapy in dermatology. X-rays and electron beams are now used only for a limited number of indications in carefully selected patients. Since surgical approaches have gained popularity in the treatment of skin tumors, not all dermatologists are familiar with the benefits of ionizing radiation for patients with cutaneous neoplasms and certain other skin disorders. This article reviews modern indications for radiation therapy in dermatology. Important physical and biologic factors, radiation side effects, radiation protection measures, and therapeutic results will also be discussed. Although the use of radiotherapy in dermatology has in large part been supplanted in recent years by other forms of treatment, ionizing radiation continues to be an essential therapeutic alternative for many cutaneous tumors and some skin diseases. It is important to be familiar with the principles of radiotherapy so that optimal therapy can be selected for individual patients.
新手术技术和其他治疗方式的引入显著影响了电离辐射疗法在皮肤科的应用。如今，X射线和电子束仅用于精心挑选的少数特定适应症患者。由于手术方法在皮肤肿瘤治疗中越来越受欢迎，并非所有皮肤科医生都熟悉电离辐射对皮肤肿瘤患者和某些其他皮肤疾病患者的益处。本文回顾了皮肤科放射治疗的现代适应症。还将讨论重要的物理和生物学因素、放射副作用、放射防护措施以及治疗效果。尽管近年来皮肤科放射治疗的应用在很大程度上已被其他治疗形式所取代，但电离辐射仍然是许多皮肤肿瘤和一些皮肤疾病的重要治疗选择。熟悉放射治疗原则很重要，以便为个体患者选择最佳治疗方案。
