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对放疗感到愤怒。

Enraged about radiotherapy.

作者信息

Sikora K

机构信息

Royal Postgraduate Medical School, Hammersmith Hospital, London.

出版信息

BMJ. 1994 Jan 15;308(6922):188-9. doi: 10.1136/bmj.308.6922.188.

DOI:10.1136/bmj.308.6922.188
PMID:8312773
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2542528/
Abstract

The use of radiotherapy in treating breast cancer has meant that many women are able to avoid mastectomy, which is both physically and psychologically damaging. The side effects of radiotherapy, however, are given little attention. Many women have developed brachial plexus injury after radiotherapy for breast cancer, often resulting in severe pain and loss of use of the arm. There is no effective treatment for this injury and little help can be offered. In addition, many of the women did not require radiotherapy of nodal areas. A pressure group has been formed to support these women, to establish the right to compensation, and to ensure that radiotherapy regimens given to future patients will not damage the brachial plexus.

摘要

放射疗法用于治疗乳腺癌意味着许多女性能够避免进行乳房切除术,而乳房切除术对身体和心理都会造成损害。然而,放射疗法的副作用却很少受到关注。许多女性在接受乳腺癌放射治疗后出现了臂丛神经损伤,常常导致剧痛和手臂功能丧失。这种损伤没有有效的治疗方法,也几乎无法提供帮助。此外,许多女性并不需要对淋巴结区域进行放射治疗。一个压力团体已经成立,以支持这些女性,确立获得赔偿的权利,并确保给予未来患者的放射治疗方案不会损害臂丛神经。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e221/2542528/516134f2be7a/bmj00423-0046-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e221/2542528/516134f2be7a/bmj00423-0046-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e221/2542528/516134f2be7a/bmj00423-0046-a.jpg

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1
Enraged about radiotherapy.对放疗感到愤怒。
BMJ. 1994 Jan 15;308(6922):188-9. doi: 10.1136/bmj.308.6922.188.
2
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Audit of brachial plexus neuropathy following radiotherapy.放疗后臂丛神经病变的审计
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Radiation for breast cancer linked to heart problems.乳腺癌放疗与心脏问题有关。
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[Lesions of the brachial plexus occurring after radiotherapy for cancer of the breast].
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引用本文的文献

1
Changes in incidence of and mortality from breast cancer in England and Wales since introduction of screening. United Kingdom Association of Cancer Registries.自引入筛查以来,英格兰和威尔士乳腺癌发病率及死亡率的变化。英国癌症登记协会。
BMJ. 1995 Nov 25;311(7017):1391-5. doi: 10.1136/bmj.311.7017.1391.
2
Clinical oncology information network.临床肿瘤学信息网络
BMJ. 1994 Jan 15;308(6922):147-8. doi: 10.1136/bmj.308.6922.147.
3
Management of breast cancer. Attack on radiotherapy too simplistic.乳腺癌的管理。对放疗的抨击过于简单化。

本文引用的文献

1
Selective avoidance of lymphatic irradiation in the conservative management of breast cancer.乳腺癌保守治疗中对淋巴照射的选择性规避。
Radiother Oncol. 1984 Aug;2(2):79-92. doi: 10.1016/s0167-8140(84)80043-2.
2
Overview of randomized trials of postoperative adjuvant radiotherapy in breast cancer.乳腺癌术后辅助放疗随机试验综述
Cancer Treat Rep. 1987 Jan;71(1):15-29.
3
The Royal College of Radiologists' Fractionation Survey.皇家放射科医师学院的分割放疗调查。
BMJ. 1994 Mar 12;308(6930):715-6.
4
Management of breast cancer. Neurological symptoms may not be due to radiotherapy.乳腺癌的管理。神经症状可能并非由放疗引起。
BMJ. 1994 Mar 12;308(6930):715.
5
Late effects after radiotherapy for breast cancer.乳腺癌放疗后的晚期效应。
BMJ. 1995 Mar 11;310(6980):669. doi: 10.1136/bmj.310.6980.669b.
Clin Oncol (R Coll Radiol). 1989 Sep;1(1):39-46. doi: 10.1016/s0936-6555(89)80010-x.
4
Radiation-induced brachial plexus injury: follow-up of two different fractionation schedules.放射性臂丛神经损伤:两种不同分割方案的随访
Radiother Oncol. 1990 Jul;18(3):213-20. doi: 10.1016/0167-8140(90)90057-4.