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作 者:龚文 谭榜宪[1] Gong Wen;Tan Bangxian(Department of Oncology, Affiliated Hospital of North Sichuan Medical College, Nartchong 637000, Sichuan,China)
机构地区:[1]川北医学院附属医院肿瘤科,四川南充637000
出 处:《肿瘤预防与治疗》2019年第3期278-283,共6页Journal of Cancer Control And Treatment
摘 要:宫颈癌是世界上最常见的妇科恶性肿瘤之一,每年新增病例和死亡人数绝大多数来自发展中国家,且近年来宫颈癌发病呈现出年轻化趋势,严重威胁女性健康和生命。手术治疗是早期宫颈癌的首选治疗方法之一。近距离放射治疗是宫颈癌放射治疗重要组成部分之一。术后病理显示存在阴道切缘阳性、近切缘因素等患者需要补充近距离放射治疗,但目前对于早期宫颈癌术后腔内近距离放射治疗适应症及具体实施方案尚未完全明确。故本文将对早期宫颈癌术后腔内近距离放射治疗适应症、放疗技术、施源器选择等方面进行综述。Cervical cancer is one of the most common gynecologic malignancies in the world, and the vast majority of new cases and deaths per year come from developing countries. And in recent years, the incidence of cervical cancer has shown a younger trend, seriously threatening the health and life of women. Surgical treatment is one of the preferred methods of treatment for early cervical cancer. Intracavitary brachytherapy is an important part of radiotherapy for cervical cancer. Postoperative pathology shows that patients with positive vaginal margin and proximal factors need to receive intracavitary brachytherapy. However, the indications and specific implementation of intracavitary brachytherapy for early cervical cancer after radical hysterectomy are not yet fully clear. Therefore, this article reviews the indications, radiotherapy techniques and applicator selection of intracavitary brachytherapy for early cervical cancer after radical hysterectomy.
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