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Uterus: Endometrium and Cervix 子宫:子宫内膜和子宫颈
Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198786757.003.0014
M. Powell, A. Taylor
Chapter 14 discusses carcinoma of the uterus (the endometrium and cervix), including discussion on anatomy, cervical cancer, uterine cancer, pelvic and para-aortic nodal irradiation, palliative treatment, and management of patients undergoing pelvic radiotherapy.
第14章讨论子宫癌(子宫内膜和子宫颈),包括解剖、宫颈癌、子宫癌、盆腔和主动脉旁淋巴结照射、姑息治疗和盆腔放疗患者的管理。
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引用次数: 0
Squamous cell carcinoma of the anus 肛门鳞状细胞癌
Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198786757.003.0009
R. Glynne-Jones, M. Harrison
Chapter 9 discusses squamous cell carcinoma of the anus and includes discussion on specific Phase III trials that establish chemoradiotherapy as the treatment of choice, radiotherapy dose, brachytherapy, radical primary treatment, postoperative adjuvant treatment, supportive care during radiotherapy, palliative treatment, therapeutic assessment and follow-up, and current and future research.
第9章讨论了肛门鳞状细胞癌,并讨论了具体的III期试验,这些试验确定了放化疗作为治疗选择、放疗剂量、近距离治疗、根治性原发性治疗、术后辅助治疗、放疗期间的支持护理、姑息治疗、治疗评估和随访,以及当前和未来的研究。
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引用次数: 0
Radiotherapy for thoracic tumours 胸部肿瘤的放射治疗
Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198786757.003.0006
K. Franks, F. McDonald, G. Hanna
Chapter 6 discusses radiotherapy for thoracic tumours and includes discussion on lung cancer. The chapter covers assessment of patients with lung cancer for radical radiotherapy, patient positioning for radical radiotherapy for lung cancer, tumour motion, target delineation, organs at risk, implementation on the treatment machine, treatment verification , radical treatment of non-small cell lung cancer, radical treatment for small cell lung cancer, and palliative thoracic treatment for lung cancer. It also covers mesothelioma (including current indications for radiotherapy, patient positioning, target delineation, planning, and dose prescription) and thymic tumours (including current indications for radiotherapy, radical treatment, and palliative radiotherapy).
第6章讨论胸部肿瘤的放射治疗,包括肺癌的讨论。本章涵盖了肺癌患者根治性放疗的评估,肺癌根治性放疗的患者定位,肿瘤运动,靶点描绘,危险器官,在治疗机上的实施,治疗验证,非小细胞肺癌根治性治疗,小细胞肺癌根治性治疗,以及肺癌的姑息性胸部治疗。它还涵盖间皮瘤(包括目前的放疗指征,患者定位,靶标划定,计划和剂量处方)和胸腺肿瘤(包括目前的放疗指征,根治性治疗和姑息性放疗)。
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引用次数: 0
Testis 睾丸
Pub Date : 2019-05-01 DOI: 10.1093/med/9780198786757.003.0012
P. Hoskin
Chapter 12 discusses the role of radiotherapy in testicular cancer and how it is becoming less prominent. The mainstay of treatment is radical orchidectomy and, where there is a risk of metastatic disease, combination chemotherapy. Radiotherapy may be indicated in the following situations: 1) stage I and IIa testicular seminoma delivering prophylactic para-aortic lymph nodes irradiation, and 2) palliative treatment in the management of chemotherapy resistant disease.
第12章讨论了放射治疗在睾丸癌中的作用,以及它如何变得不那么突出。治疗的主要方法是根治性睾丸切除术,如果有转移性疾病的危险,则采用联合化疗。在以下情况下可能需要放疗:1)I期和IIa期睾丸精原细胞瘤给予预防性主动脉旁淋巴结放疗;2)姑息治疗治疗化疗耐药疾病。
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引用次数: 0
Breast radiotherapy 乳腺癌放射治疗
Pub Date : 2019-05-01 DOI: 10.1093/med/9780198786757.003.0005
C. Coles, M. Brunt, A. Kirby, S. Lightowlers, N. Twyman
Chapter 5 discusses breast radiotherapy and includes discussion on the evidence-based rationale for radiotherapy, including adjuvant loco-regional radiotherapy and other indications, adverse effects of breast and lymphatic radiotherapy, pre-planning procedures, radiotherapy planning, treatment and verification, and patient assessment and follow-up.
第5章讨论了乳腺放疗,包括对放疗的循证基础的讨论,包括辅助局部区域放疗和其他适应症,乳腺和淋巴放疗的不良反应,术前计划程序,放疗计划,治疗和验证,以及患者评估和随访。
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引用次数: 0
Quality assurance in radiotherapy 放射治疗的质量保证
Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198786757.003.0023
P. Díez, E. Aird
Chapter 23 discusses quality assurance of the patient pathway, concentrating on quality control of treatment planning and delivery. There is also discussion on relevant legislation associated with the radiotherapy process as well as a section on quality assurance for clinical trials.
第23章讨论了患者路径的质量保证,重点是治疗计划和交付的质量控制。此外,还讨论了与放射治疗过程有关的相关立法,以及关于临床试验质量保证的部分。
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引用次数: 0
Principles of paediatric radiation oncology 儿科放射肿瘤学原理
Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198786757.003.0021
H. Mandeville
Chapter 21 discusses principles of paediatric radiation oncology including discussion on proton therapy for paediatric tumours, intensity-modulated radiotherapy, radiotherapy quality assurance, toxicity of radiotherapy for children, chemotherapy and radiotherapy interactions, leukaemia, Hodgkin lymphoma, non-Hodgkin lymphoma, neuroblastoma, Wilms’ tumour, rhabdomyosarcoma, Ewing’s sarcoma, osteosarcoma, central nervous system tumours, and high-grade glioma.
第21章讨论了儿科放射肿瘤学的原理,包括讨论儿科肿瘤的质子治疗、调强放疗、放疗质量保证、儿童放疗的毒性、化疗和放疗的相互作用、白血病、霍奇金淋巴瘤、非霍奇金淋巴瘤、神经母细胞瘤、Wilms肿瘤、横条肌肉瘤、Ewing肉瘤、骨肉瘤、中枢神经系统肿瘤和高级别胶质瘤。
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引用次数: 0
Sarcomas of soft tissue and bone 软组织和骨骼的肉瘤
Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198786757.003.0020
J. Wylie
Chapter 20 covers sarcomas of soft tissue and bone and includes discussion of radiotherapy for soft tissue sarcomas (including indications for radiotherapy, essential investigations for planning radiotherapy, patient preparation, planning imaging required for target definition, target definition, dose fractionation, and critical organs and tolerance doses,including the sites forearm, hands and feet, retroperitoneum, chest wall, and spinal/para-spinal), particular histologies (angiosarcoma and fibromatosis), particular radiotherapy techniques, and palliative treatment (including cerebral and lung secondaries),
第20章涵盖软组织和骨骼肉瘤,包括软组织肉瘤放疗的讨论(包括放疗的适应症、计划放疗的基本调查、患者准备、目标定义所需的计划成像、目标定义、剂量分割、关键器官和耐受剂量,包括前臂、手和脚、腹膜后、胸壁和脊柱/脊柱旁)。特殊的组织学(血管肉瘤和纤维瘤病),特殊的放疗技术和姑息性治疗(包括脑和肺继发),
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引用次数: 2
Treatment delivery, intensity-modulated radiotherapy, and image-guided radiotherapy 治疗递送、调强放疗和图像引导放疗
Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198786757.003.0003
Y. Tsang
Chapter 3 discusses how successful delivery of external beam radiotherapy such as intensity-modulated radiotherapy and image-guided radiotherapy involves a number of complex processes beginning with the decision by the clinical oncologist to use radiotherapy as part of the patient’s cancer management, through the preparation and planning of the patient’s treatment, to the verification of the patient position and radiation dose delivered at the time of treatment.
第3章讨论了如何成功地提供外部放射治疗,如调强放疗和图像引导放疗涉及许多复杂的过程,从临床肿瘤学家决定使用放疗作为患者癌症管理的一部分,通过患者治疗的准备和计划,到治疗时患者位置和放射剂量的验证。
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引用次数: 0
Bladder cancer 膀胱癌
Pub Date : 2019-05-01 DOI: 10.1093/med/9780198786757.003.0011
N. James, D. Fackrell, A. Zarkar
Chapter 11 discusses the considerable controversy about the optimal management of localized, muscle invasive bladder cancer. Surgical removal of the bladder is considered the ‘gold standard’ in many countries but there is no randomized trial to underpin this statement, and many patients are unfit for surgery. Reported 5-year survival rates with radiotherapy are similar to surgical series and there are many patients for whom radical surgery is simply not suitable and hence bladder-preserving techniques are appropriate.
第11章讨论了局部肌肉浸润性膀胱癌的最佳治疗方法。在许多国家,手术切除膀胱被认为是“黄金标准”,但没有随机试验来支持这一说法,而且许多患者不适合手术。据报道,放疗的5年生存率与外科手术相似,许多患者根本不适合根治性手术,因此膀胱保留技术是合适的。
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引用次数: 0
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External Beam Therapy
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