摘要
我国是食管癌高发国家,随着人口老龄化加剧,食管癌成为老年人群健康的重大威胁。目前针对老年食管癌尚无明确定义和评估方法,临床试验通常将其排除在外,缺乏针对该部分人群治疗的高级别证据和国内外共识性指南。老年食管癌因自身特点难以耐受手术和高强度化疗,放疗成为关键治疗手段。因此,综合近年来老年食管癌研究的数据,组织中国医师协会放射肿瘤治疗医师分会、中华医学会放射肿瘤治疗学分会、中国抗癌协会肿瘤放射治疗专业委员会、中国肿瘤放射治疗联盟食管癌专家委员会、中国老年学学会老年肿瘤专业委员会放射治疗分委会专家组成员深入研究讨论,共同制定了该共识。针对老年食管癌进行明确定义,强调营养评估与干预的重要地位,详尽阐述了老年食管癌单纯放疗和以放疗为主的综合治疗模式,同时对放疗技术和照射剂量、安全性管理等问题进行梳理,以期为老年食管癌临床实践提供依据。
China exhibits a high incidence of esophageal cancer.In the context of rapid population aging,esophageal cancer has become a significant threat to the health of China’s elderly population.Currently,there is a lack of a clear definition or assessment method for esophageal cancer inelderly patients,and this population is frequently excluded in clinical trials.Consequently,high⁃level evidence and global consensus guidelines for the treatment of this population are unavailable.Since elderly patients with esophageal cancer cannot tolerate surgery and intensive chemotherapy,radiotherapy plays a vital role in their treatment.Based on recent research data on esophageal cancer in elderly patients,the expert consensus on radiotherapy for esophageal cancer in elderly patients in China was jointly developed by experts from the following organizations:Radiation Oncology Physician Branch,Chinese Medical Doctor Association;Radiation Oncology Branch,Chinese Medical Association;Professional Committee of Radiation Oncology,China Anti⁃Cancer Association;Expert Committee of Esophageal Cancer,Chinese Cancer Radiotherapy Alliance;Radiotherapy Sub⁃Committee,Professional Committee of Elderly Oncology,Gerontological Society of China.This consensus defines esophageal cancer in elderly patients,emphasizes the importance of nutritional assessment and intervention,and elaborates on the mode of radiotherapy alone and radiotherapy⁃based combined modality therapy mode.Moreover,this consensus organizes radiotherapy technology,radiation dose,and safety management,aiming to provide a foundational guide for clinical practice targeting esophageal cancer in elderly patients.
作者
中国医师协会放射肿瘤治疗医师分会
中华医学会放射肿瘤治疗学分会
中国抗癌协会肿瘤放射治疗专业委员会
中国肿瘤放射治疗联盟食管癌专家委员会
中国老年学学会老年肿瘤专业委员会放射治疗分委会
王军
惠周光
庞青松
李宝生
于金明
王俊杰
郭小毛
王绿化
王平
袁双虎
金晶
章文成
周志国
门玉
黄伟
王奇峰
Radiation Oncology Physician Branch,Chinese Medical Doctor Association;Radiation Oncology Branch,Chinese Medical Association;Professional Committee of Radiation Oncology,China Anti-Cancer Association;Expert Committee of Esophageal Cancer,Chinese Cancer Radiotherapy Alliance;Radiotherapy Sub-Committee,Professional Committee of Elderly Oncology,Gerontological Society of China;Wang Jun;Hui Zhouguang;Pang Qingsong;Li Baosheng(不详;the Fourth Hospital of Hebei Medical University,Shijiazhuang 050011,China;Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China;Tianjin Medical University Cancer Institute&Hospital,Tianjing 300060,China;Shandong Cancer Hospital Affiliated to Shandong First Medical University,Jinan 250117,China)
出处
《中华放射医学与防护杂志》
CAS
CSCD
北大核心
2024年第3期163-173,共11页
Chinese Journal of Radiological Medicine and Protection
关键词
食管癌
老年
放射治疗
专家共识
中国
Esophageal cancer
Elderly
Radiotherapy
Expert consensus
China
