Protocolo de tratamiento paliativo radioterápico en enfermedades oncológicas. Indicaciones. Pautas terapéuticas

  1. Casado Jiménez, M.
  2. Büchser García, D.
  3. Cruz Conde, J.A.
  4. Murillo González, M.T.
Revue:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Année de publication: 2017

Titre de la publication: Enfermedades oncológicas (IV) Cáncer de mama, tumores ginecológicos y consejo genético

Serie: 12

Número: 34

Pages: 2065-2069

Type: Article

DOI: 10.1016/J.MED.2017.05.006 DIALNET GOOGLE SCHOLAR

D'autres publications dans: Medicine: Programa de Formación Médica Continuada Acreditado

Objectifs de Développement Durable

Résumé

Palliative radiotherapy has a very important role in the multidisciplinary treatment of the continuous care of the oncological patient. Objective Its goal is the symptomatic control with the improvement of the quality of life. Each treatment plan with radiotherapy should be personalized in each patient (location, histology, disease and patient status). Indications In this protocol a review of the most frequent clinical scenarios of daily clinical practice is made: spinal compression, vena cava syndrome, brain metastasis and bleeding.

Références bibliographiques

  • Gaspar L, Scott C, Rotman M, Asbell S, Phillips T, Wasserman T. Recursive partitioning analysis (RPA) of prognostic factors in three Radiation Therapy Oncology Group (RTOG) brain metastases trials. Int J Radiat Oncol Biol Phys. 1997;37:745.
  • Gerszten PC, Burton SA, Ozhasoglu C, Welch WC. Radiosurgery for spinal metastases: clinical experience in 500 cases from a single institution. Spine. 2007;32(2):193-9.
  • Hartford AC, Paravati AJ, Spire WJ, Li Z, Jarvis LA, Fadul CE. Postoperative stereotactic radiosurgery without whole-brain radiation therapy for brain metastases: potential role of preoperative tumor size. Int J Radiat Oncol Biol Phys. 2013;85:650.
  • Mose S, Stabik C, Eberlein K, Ramm U, Böttcher HD, Budischewski K. Retrospective analysis of the superior vena cava syndrome in irradiated cancer patients. Anticancer Res. 2006;26(6C):4933-6.
  • Plataniotis GA, Kouvaris JR, Dardoufas C, Kouloulias V, Theofanopoulou MA, Vlahos L. A short radiotherapy course for locally advanced non small cell lung cancer (NSCLC): effective palliation and patients convenience. Lung Cancer. 2002;35(2): 203-7.
  • Rades D, Huttenlocher S, Šegedin B, Perpar A, Conde AJ, Gar-cia R. Single fraction versus 5-fraction radiation therapy for metastatic epidural spinal cord compression in patients with limited survival prognoses: results of a matched pair analysis. Int J Radiat Oncol Biol Phys. 2015;93(2):368-72.
  • Rades D, Šegedin B, Conde-Moreno AJ, García R, Perpar A, Metz M. Radiotherapy with 4 Gy × 5 versus 3 Gy × 10 for metastatic epidural spinal cord compression: final results of the SCORE-2 Trial (ARO 2009/01). J Clin Oncol. 2016;34(6):597-602
  • Yu JB, Wilson LD, Detterbeck FC. Superior vena cava syndrome--a proposed classification system andalgorithm for manage-ment. J Thorac Oncol. 2008;3:811.