Олигометастатическая болезнь и дистанционная стереотаксическая абляционная радиотерапия тела. Часть ІІ. Рак молочной железы

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Метастатический рак молочной железы исторически считался неизлечимым заболеванием. Радиотерапия (РТ) традиционно использовалась только для паллиативного лечения симптомов, вызванных метастатическими очагами. Однако в последние годы в онкологической практике введено понятие олигометастатического заболевания (ОМЗ) как клинического сценария с наличием ограниченного числа метастазов (≤ 5) и поражением ограниченного числа органов (≤ 3) на фоне контролируемого первичного опухолевого процесса. Предполагается, что при ОМЗ местно-регионарное лечение первичной опухоли и противоопухолевая терапия, направленная на очаги метастазирования с использованием хирургического метода или РТ, могут, в целом, улучшить исходы специального лечения. Недавние исследования показали, что не все пациенты с метастатическим раком молочной железы имеют одинаковый прогноз основного заболевания. Возможен отбор пациенток с хорошими прогностическими признаками, такими например, как возраст менее 55 лет, наличие положительных гормональных рецепторов, ограниченное число метастазов в кости или печени, опухоль низкой степени злокачественности, удовлетворительное общее состояние, длительный безрецидивный период после первоначально проведенного противоопухолевого лечения (> 12 мес.) и качественный .ответ на системную терапию. Наличие таких прогностических признаков может обеспечить максимальную эффективность от радикального лечения всех опухолевых очагов.Данный обзор является продолжением цикла обзоров, посвященных современному состоянию вопроса о роли дистанционной стереотаксической абляционной радиотерапии тела (ДСАРТТ) при олигометастатической болезни (ОМБ). В обзоре будет обсуждаться концепция олигометастазов и будет представлена имеющаяся в открытой печати актуальная информация об использовании ДСАРТТ при олигометастатическом раке молочной железы.

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Олигометастатический рак молочной железы, дистанционная стереотаксическая абляционная ралиотерапия тела, локорегионарное лечение

Короткий адрес: https://sciup.org/149145017

IDR: 149145017

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