Radiothérapie conformationnelle des métastases osseuses vertébrales
| Autor: | P. Royer, David Pasquier, Sébastien Thureau, Guillaume Vogin, G. Martinage, J.-F. Py, N. Grandgirard, Jean-Christophe Faivre, Julia Salleron |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Osteosynthesis business.industry medicine.medical_treatment Analgesic Bone metastasis External Radiation Therapy medicine.disease 3. Good health 030218 nuclear medicine & medical imaging Surgery Stereotactic radiotherapy Radiation therapy 03 medical and health sciences 0302 clinical medicine Denosumab Oncology Spinal cord compression 030220 oncology & carcinogenesis medicine Radiology Nuclear Medicine and imaging business medicine.drug |
| Zdroj: | Cancer/Radiothérapie. 20:493-499 |
| ISSN: | 1278-3218 |
| Popis: | Analgesic external beam radiation therapy is a standard of care for patients with uncomplicated painful bone metastases and/or prevention of bone complications. In case of fracture risk, radiation therapy is performed after surgery in a consolidation of an analgesic purpose and stabilizing osteosynthesis. Radiotherapy is mandatory after vertebroplasty or kyphoplasty. Spinal cord compression - the only emergency in radiation therapy - is indicated postoperatively either exclusively for non surgical indication. Analgesic re-irradiation is possible in the case of insufficient response or recurrent pain after radiotherapy. Metabolic radiation, bisphosphonates or denosumab do not dissuade external radiation therapy for pain relief. Systemic oncological treatments can be suspended with a period of wash out given the risk of radiosensitization or recall phenomenon. Better yet, the intensity modulated radiotherapy and stereotactic radiotherapy can be part of a curative strategy for oligometastatic patients and suggest new treatment prospects. |
| Databáze: | OpenAIRE |
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