国际肿瘤学杂志

国际肿瘤学杂志 ›› 2013, Vol. 40 ›› Issue (8): 618-621.

• 综述 • 上一篇    下一篇

局部复发软组织肉瘤的再放疗

罗加林, 朱远   

  1. 310022 浙江省肿瘤医院放疗科
  • 出版日期:2013-08-08 发布日期:2013-08-15
  • 通讯作者: 朱远，E-mail: zhuyuan63@hotmail.com E-mail:zhuyuan63@hotmail.com

Reirradiation of locally recurrent soft tissue sarcoma

LUO  Jia-Lin, ZHU  Yuan   

  1. Department of Radiation Oncology, Zhejiang Province Cancer Hospital, Hangzhou 310022,China
  • Online:2013-08-08 Published:2013-08-15
  • Contact: ZHU Yuan, E-mail: zhuyuan63@hotmail.com E-mail:zhuyuan63@hotmail.com

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摘要： 软组织肉瘤经局部扩大切除术加放疗局部复发率在5%～20%。局部复发软组织肉瘤的最佳治疗方案应该是个体化的，再次治疗的方案包括局部扩大切除加术后放疗。放疗技术主要包括外照射、近距离放疗、术中电子线放疗。最终，局部控制率在37%～100%。但每种放疗技术都有可能产生严重不良反应，对于一些选择性患者，再放疗也许是不必要的。

关键词: 肿瘤复发, 局部, 肉瘤, 放射疗法

Abstract: The incidence of local recurrence after wide local excision and radiation of soft tissue sarcoma (STS) ranges from 5% to 20%.The optimal management of locally recurrent STS must be individualized. Approaches for retreatment include wide local re-excision followed by a variety of radiation which include external-beam radiation, brachytherapy and intraoperative electron radiotherapy. Following retreatment, the likelihood of ultimate local control ranges from 37% to 100%. However, each radiation technique could produce severe side effects, and so for selected patients, repeat irradiation may be unnecessary.

Key words: Neoplasms recurrence, local, Sarcoma, Radiotherapy