国际肿瘤学杂志››2013,Vol. 40››Issue (8): 618-621.

• 综述 •上一篇下一篇

局部复发软组织肉瘤的再放疗

罗加林, 朱远

  1. 310022浙江省肿瘤医院放疗科
  • 出版日期:2013-08-08发布日期:2013-08-15
  • 通讯作者:朱远,E-mail: zhuyuan63@hotmail.com E-mail:zhuyuan63@hotmail.com

Reirradiation of locally recurrent soft tissue sarcoma

LUO Jia-Lin, ZHU Yuan

  1. Department of Radiation Oncology, Zhejiang Province Cancer Hospital , Hangzhou 310022, China
  • Online:2013-08-08Published:2013-08-15
  • Contact:ZHU Yuan, E-mail: zhuyuan63@hotmail.com E-mail:zhuyuan63@hotmail.com

摘要:软组织肉瘤经局部扩大切除术加放疗局部复发率在5%~20%。局部复发软组织肉瘤的最佳治疗方案应该是个体化的,再次治疗的方案包括局部扩大切除加术后放疗。放疗技术主要包括外照射、近距离放疗、术中电子线放疗。最终,局部控制率在37%~100%。但每种放疗技术都有可能产生严重不良反应,对于一些选择性患者,再放疗也许是不必要的。

关键词:肿瘤复发,局部,肉瘤,放射疗法

Abstract:The incidence of local recurrence after wide local excision and radiation of soft tissue sarcoma (STS) ranges from 5% to 20%.The optimal management of locally recurrent STS must be individualized. Approaches for retreatment include wide local re-excision followed by a variety of radiation which include external-beam radiation, brachytherapy and intraoperative electron radiotherapy. Following retreatment, the likelihood of ultimate local control ranges from 37% to 100%. However, each radiation technique could produce severe side effects, and so for selected patients, repeat irradiation may be unnecessary.

Key words:Neoplasms recurrence, local,Sarcoma,Radiotherapy