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放疗是肿瘤综合治疗中的重要手段之一,有60%的肿瘤患者在其病程的某一阶段需要放疗。腹部肿瘤占全身所有肿瘤的55%以上,其中尤以胃癌、肝癌位居各种恶性肿瘤的前1、2位。由于放疗设备的进步、放射生物学理论的发展和临床试验的证实,目前,放疗在腹部恶性肿瘤的综合治疗中已显示出作用,作为术后辅助放疗减少复发率,或对不能手术切除患者延长其生存期,或缓解患者的症状。放疗是腹部肿瘤综合治疗不可缺少的一部分,目前已得到临床肿瘤学家的认可。复旦大学附属中山医院在肝癌放疗领域具有优势,其泌尿系统肿瘤也有不少新内容,胃癌的放疗也积累许多经验。中山医院放疗科依托综合性医院的优势,总结了近年来这些肿瘤的放疗经验。以前的放疗主要是肿瘤专科医院的特长,但随着综合性医院放疗的发展,综合性医院的肿瘤病种主要集中在胸腹部,故本专题对综合性医院放疗科和肿瘤外科医生认识腹部肿瘤的综合治疗具有重要意义。鉴于篇幅有限,如读者感兴趣,可以参考复旦大学附属中山医院放疗科新近出版的《腹盆部肿瘤放射治疗学》。
Radiotherapy is one of the most important methods in the comprehensive treatment of cancer. 60% of the patients with cancer need radiotherapy at a certain stage of their course of disease. Abdominal tumors account for more than 55% of all tumors in the body, especially gastric cancer and liver cancer, ranking the first 1,2 places of various malignancies. Due to advances in radiotherapy equipment, development of radiobiology theory and clinical trials, radiotherapy has been shown to play a role in the comprehensive treatment of malignant tumors of the abdomen, as a postoperative adjuvant radiotherapy to reduce the recurrence rate, or to prolong the incapacitating patients Its survival, or alleviate the symptoms of the patient. Radiotherapy is an indispensable part of comprehensive treatment of abdominal tumors and has been approved by clinical oncologists. Zhongshan Hospital Affiliated to Fudan University has advantages in the field of liver cancer radiotherapy, and its urological tumors also have many new contents. Gastric cancer radiotherapy also accumulates many experiences. Radiotherapy Department of Zhongshan Hospital, relying on the advantages of a comprehensive hospital, summarizes the radiotherapy experience of these tumors in recent years. However, with the development of general hospital radiotherapy, the general hospital tumor types are mainly concentrated in the chest and abdomen, so the topic of comprehensive hospital radiotherapy and oncology surgeons know about abdominal tumors The comprehensive treatment is of great significance. In view of the limited space, if the reader is interested, you can refer to Fudan University Zhongshan Hospital radiotherapy department recently published “abdomen tumor radiotherapy.”