Брахитерапия в лечении больных со злокачественными образованиями
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. Кравец
Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина Минздрава РФ
Россия
Россия
И. А. Гладилина
Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина Минздрава РФ
Россия
Россия
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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
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