摘要
阐述了复发鼻咽癌放疗、手术、化疗及分子靶向治疗等各种治疗方法的现状和进展,提出了放疗是复发鼻咽癌治疗的主要治疗手段,为减少正常组织损伤,应选用三维适形放疗、调强放疗技术;对重分期为早期,复发间隔时间≤1a的具有手术适应证的患者,可选择手术治疗;没有手术适应证或复发间隔时间>1a的患者可选择放疗+/-腔内放疗;重分期为局部晚期的患者应以放疗为主,联合其他治疗包括化疗、分子靶向治疗、放射增效剂等,以期提高疗效。
The status and progression of therapy for recurrent nasopharyngeal carcinoma are expounded, including radiotherapy, surgery, chemotherapy and targeted therapy, etc. Radiotherapy is the most important mode that three-dimensional conformal radiation therapy and intensity modulation radiation therapy are strongly recommended in order to reduce the impairment of normal tissue. Surgical therapy is reasonable for the early stage patients who relapse less than a year from the initial treatment with surgical indication. Conventional radiotherapy with or without brachytherapy is recommended for those who relapse more than one year without surgical indication. Radiotherapy combining with chemotherapy, targeted therapy and sensitizer is proposed for the patients with local advanced stage by re-staging.
出处
《医疗卫生装备》
CAS
2009年第7期37-40,共4页
Chinese Medical Equipment Journal
关键词
鼻咽癌:复发:治疗
nasopharyngeal carcinoma
recurrence
therapy
