Брахитерапия в лечении больных со злокачественными образованиями
https://doi.org/10.37174/2587-7593-2019-2-4-13-25
Аннотация
Данный обзор литературы посвящен роли брахитерапии в лечении больных со злокачественными образованиями. Лучевая терапия проводится более 70 % пациентам со злокачественными образованиями в монорежиме или в комбинации с другими методами лечения. В зависимости от расположения источника излучения лучевую терапию разделяют на дистанционную и брахитерапию. Брахитерапия имеет большие преимущества в сравнении с дистанционным методом воздействия: нивелирует смещение опухоли, уменьшает дозовую нагрузку на смежные органы, обеспечивает максимально быстрое и точное проведение лучевой терапии, значительно дешевле и доступнее других высокоточных методов локального воздействия, таких как томотерапия и протонная терапия. Брахитерапия применяется как в самостоятельном режиме, так и в сочетании с дистанционной лучевой терапией. Брахитерапия является «золотым стандартом» лечения онкогинекологических больных. Применяется в лечении больных раком предстательной железы и является альтернативным методом радикальной простатэктомии. Брахитерапия является лучшей терапевтической опцией в лечении больных немеланомными злокачественными образованиями кожи, располагающимися в периорбитальной области, на коже носа и ушных раковинах, так как хирургические вмешательства не всегда приводят к удовлетворительным эстетическим и функциональным результатам. Применяется также брахитерапия в лечении больных раком пищевода, опухолей головы и шеи и других новообразований, обеспечивая высокие цифры локального контроля над опухолью.
Об авторах
О. А. КравецРоссия
И. А. Гладилина
Россия
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Рецензия
Для цитирования:
Кравец О.А., Гладилина И.А. Брахитерапия в лечении больных со злокачественными образованиями. Онкологический журнал: лучевая диагностика, лучевая терапия. 2019;2(4):13-25. https://doi.org/10.37174/2587-7593-2019-2-4-13-25
For citation:
Kravets O.A., Gladilina I.A. Brachytherapy in the Treatment of Oncology Patients. Journal of oncology: diagnostic radiology and radiotherapy. 2019;2(4):13-25. (In Russ.) https://doi.org/10.37174/2587-7593-2019-2-4-13-25