国际肿瘤学杂志

国际肿瘤学杂志 ›› 2015, Vol. 42 ›› Issue (8): 631-634.doi: 10.3760/cma.j.issn.1673422X.2015.08.020

• 综述 • 上一篇    下一篇

完全切除的ⅢAN2期非小细胞肺癌术后辅助放疗

张广梅,井绪泉,张玉静,孟雪,孙新东   

  1. 251200山东省禹城市人民医院呼吸科（张广梅、张玉静）；山东省肿瘤医院放疗四科（井绪泉、孟雪、孙新东）
  • 出版日期:2015-08-08 发布日期:2015-06-29
  • 通讯作者: 孙新东，Email:13646412068@163.com E-mail:13646412068@163.com

Postoperative radiotherapy for completely resected stage ⅢAN2 nonsmall cell lung cancer

 ZHANG  Guang-Mei, JING  Xu-Quan, ZHANG  Yu-Jing, MENG  Xue, SUN  Xin-Dong   

  1. Postoperative radiotherapy for completely resected stage ⅢAN2 nonsmall cell lung cancer
  • Online:2015-08-08 Published:2015-06-29
  • Contact: Sun Xindong E-mail:13646412068@163.com

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摘要： 现有研究显示术后辅助放疗可提高ⅢAN2期非小细胞肺癌(NSCLC)患者局部控制率，可能延长总生存期。在应用当代放疗技术的前提下，术后放疗引起的不良反应可以耐受并对生存无影响。有关术后放疗靶区的研究较少，尚未完全达成共识，现有证据提示临床靶区应包括支气管残端，已受侵的淋巴结以及10区、7区和4区。

关键词: 癌, 非小细胞肺, 外科手术, 放射疗法

Abstract: Current studies show that postoperative adjuvant radiotherapy (PORT) may improve local control and overall survival for ⅢAN2 NSCLC. With modern radiotherapy technology and techniques, the adverse effect of PORT is moderate and tolerated. Besides, modern PORT doesn′t decrease the survival. Investigation concerning postoperative target volume for PORT is rare, so that definite agreement has not been reached. Available informations suggest that clinical target volume should include bronchial stump, involved lymph nodes, ipsilateral hilar nodes, subcarinal nodes and ipsilateral lower paratracheal nodes.

Key words: Carcinoma, nonsmallcell lung, Surgical procedures, operative, Radiotherapy