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适形调强放疗对鼻咽肿瘤退缩模式的影响
引用本文:韩非,肖巍魏,王汉渝,黄莹,邓美玲,赵充,卢泰祥. 适形调强放疗对鼻咽肿瘤退缩模式的影响[J]. 中华放射医学与防护杂志, 2012, 32(2): 204-206
作者姓名:韩非  肖巍魏  王汉渝  黄莹  邓美玲  赵充  卢泰祥
作者单位:中山大学肿瘤防治中心放疗科华南肿瘤学国家重点实验室, 广州,510060
摘    要:目的 回顾性分析适形调强放疗(IMRT)对鼻咽肿瘤退缩模式的影响.方法 选取2001年4月至2007年12月间接受单纯放疗初治鼻咽癌患者,其中,IMRT 196例,常规放疗76例.IMRT组照射总疗程平均为6周,常规放疗组总疗程平均为7周.结果 放疗结束时,IMRT组的鼻咽肿瘤和颈部淋巴结残留率分别为36.7%和44.2%,高于常规放疗组的21.1%和26.6%(x2=6.15和3.99,P<0.05).放疗后3个月,IMRT组有6.1%残留,常规放疗组有9.2%残留,两组差异无统计学意义.IMRT组残留病灶在放疗后4~9个月时完全消退.结论 采用IMRT治疗初治鼻咽癌,肿瘤的退缩模式与常规放疗不同.IMRT结束时,肿瘤残留率较高,但只要靶区剂量充足,不宜盲目追加剂量.

关 键 词:鼻咽癌  适形调强放疗  常规放疗  肿瘤退缩模式  放射生物效应
收稿时间:2011-08-26

Influence of intensity-modulated radiotherapy on tumor regression in nasopharyngeal carcinoma
HAN Fei,XIAO Wei-wei,WANG Han-yu,HUANG Ying,DENG Mei-ling,ZHAO Chong and LU Tai-xiang. Influence of intensity-modulated radiotherapy on tumor regression in nasopharyngeal carcinoma[J]. Chinese Journal of Radiological Medicine and Protection, 2012, 32(2): 204-206
Authors:HAN Fei  XIAO Wei-wei  WANG Han-yu  HUANG Ying  DENG Mei-ling  ZHAO Chong  LU Tai-xiang
Affiliation:Department of Radiation Oncology, Cancer Center, Sun Yat-sen University, State Key Laboratory of Oncology in South China, Guangzhou 510060, China;Department of Radiation Oncology, Cancer Center, Sun Yat-sen University, State Key Laboratory of Oncology in South China, Guangzhou 510060, China;Department of Radiation Oncology, Cancer Center, Sun Yat-sen University, State Key Laboratory of Oncology in South China, Guangzhou 510060, China;Department of Radiation Oncology, Cancer Center, Sun Yat-sen University, State Key Laboratory of Oncology in South China, Guangzhou 510060, China;Department of Radiation Oncology, Cancer Center, Sun Yat-sen University, State Key Laboratory of Oncology in South China, Guangzhou 510060, China;Department of Radiation Oncology, Cancer Center, Sun Yat-sen University, State Key Laboratory of Oncology in South China, Guangzhou 510060, China;Department of Radiation Oncology, Cancer Center, Sun Yat-sen University, State Key Laboratory of Oncology in South China, Guangzhou 510060, China
Abstract:
Keywords:Nasopharyngeal carcinoma|Intensity-modulated radiotherapy|Conventional radiotherapy|Tumor regression mode|Radiation biology
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