保乳术后放疗瘤床靶区勾画进展

doi:10.3760/cma.j.issn.1673-422X.2020.02.008

国际肿瘤学杂志 ›› 2020, Vol. 47 ›› Issue (2): 103-106.doi: 10.3760/cma.j.issn.1673-422X.2020.02.008

保乳术后放疗瘤床靶区勾画进展

杨娅¹, 刘晓萌¹, 董银萍¹, 黄伟²()

1 济南大学山东省医学科学院医学与生命科学学院 250200
2 山东省肿瘤防治研究院(山东省肿瘤医院)放疗六病区,山东第一医科大学(山东省医学科学院),济南 250117

收稿日期:2019-11-27 修回日期:2019-12-29 出版日期:2020-02-08 发布日期:2020-05-27
通讯作者: 黄伟 E-mail:alvinbird@163.com
基金资助:
国家自然科学基金(81773232);国家自然科学基金(81530060);山东省自然科学基金(ZR2015QZ09);泰山学者特聘专家计划(ts20120505);泰山学者青年专家计划(tsqn201909187)

Advances of tumor bed delineation for radiation therapy after breast-conserving surgery

Yang Ya¹, Liu Xiaomeng¹, Dong Yinping¹, Huang Wei²()

1 School of Medicine and Life Sciences, University of Jinan-Shandong Academy of Medical Sciences, Jinan 250200, China
2 Department VI of Radiation Oncology, Shandong Cancer Hospital & Institute, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan 250117, China

Received:2019-11-27 Revised:2019-12-29 Online:2020-02-08 Published:2020-05-27
Contact: Huang Wei E-mail:alvinbird@163.com
Supported by:
National Natural Science Foundation of China(81773232);National Natural Science Foundation of China(81530060);Shandong Natural Science Foundation of China(ZR2015QZ09);Project of Distinguished Taishan Scholars(ts20120505);Project of Young Taishan Scholars(tsqn201909187)

摘要/Abstract

摘要：

保乳术加术后放疗是早期乳腺癌标准治疗模式,术后瘤床勾画是保乳术后放疗中极其重要的一环。临床上多依据患者手术记录、术前超声、术后瘢痕、瘤床银夹等常规方法来勾画瘤床,存在很多局限性。近年来,采用新型术腔填充物、术前/术后MRI与定位CT进行图像融合等方法勾画瘤床取得一定进展,未来有望解决术后瘤床缺乏勾画共识和标准的问题。

关键词: 乳房切除术,区段, 放射疗法, 磁共振成像, 瘤床

Abstract:

Radiotherapy following breast conserving surgery is a standard treatment in early stage breast cancer, and tumor bed delineation is a very important part of radiotherapy. Traditionally, operative record, preoperative ultrasound, postoperative scar, clips and other conventional methods were used to contour tumor bed in clinical, but they still have many limitations. In recent years, there were some progress in tumor bed delineation of the new style of lumpectomy cavity filling, preoperative/postoperative MRI images with CT images and other new methods. It is expected to solve the lack of postoperative tumor bed delineation consensus and standard in the future.

Key words: Mastectomy, segmental, Radiotherapy, Magnetic resonance imaging, Tumor bed

杨娅, 刘晓萌, 董银萍, 黄伟. 保乳术后放疗瘤床靶区勾画进展[J]. 国际肿瘤学杂志, 2020, 47(2): 103-106.

Yang Ya, Liu Xiaomeng, Dong Yinping, Huang Wei. Advances of tumor bed delineation for radiation therapy after breast-conserving surgery[J]. Journal of International Oncology, 2020, 47(2): 103-106.

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保乳术后放疗瘤床靶区勾画进展

Advances of tumor bed delineation for radiation therapy after breast-conserving surgery

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