脑转移瘤的放射治疗进展

Advances in radiotherapy of brain metastases

  • 摘要: 脑转移瘤是肿瘤最常见的神经系统并发症,发病率呈上升趋势。治疗方案已经从传统的全脑放射治疗发展到个体化治疗阶段。放疗仍是当前的主要治疗手段之一。随着放疗技术的不断发展,脑转移瘤患者的生活质量明显改善,生存期明显延长。全脑放疗、立体定向放射外科以及两者联合是目前的主要治疗方法,但在最佳联合方式及患者的选择等方面尚待进一步明确。笔者将对脑转移瘤的放射治疗进展进行综述。

     

    Abstract: Brain metastases are the most common neurologic complication related to systemic cancer and the incidence is expected to increase. Treatment of metastatic brain tumors streamlined from empirical whole brain irradiation to aggressive personalized treatment. Radiotherapy is one of the main treatment modalities. With the development of radiotherapy techniques, the quality of life and survival of patients with brain metastases have been significantly improved. Whole brain radiotherapy, stereotactic radiosurgery as well as the combination is the main treatment options, but the best combination method and suitable patients need to be further investigated. The article reviewed the advances in radiotherapy of brain metastases.

     

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