Local control by radiotherapy: is that all there is?

Local control by radiotherapy: is that all there is?
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DOI:
10.1186/bcr2160
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发表时间:
2008
期刊:
Breast cancer research : BCR
影响因子:
--
通讯作者:
Demaria S
Demaria S
中科院分区:
其他
文献类型:
--
作者:
Formenti SC;Demaria S

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放射治疗是乳腺癌的一种局部治疗方式,用于减少手术后的局部复发。在以早期全身扩散为特征的疾病中,观察到的最佳局部控制与生存率改善之间的关联是预料之外的。对原发肿瘤部位应用电离辐射产生全身效应的潜在机制仍不清楚,并且是很多争论的主题。在本文中,我们讨论了这样的假设:放射治疗具有独特的生物学效应,除了杀死手术后残留的肿瘤细胞外,它还可能在伤口愈合和抗肿瘤免疫反应发展过程中有利地改变原发肿瘤部位的微环境。
Radiotherapy is a local treatment modality employed in breast cancer to reduce local recurrence following surgery. The observed association of optimal local control with improved survival was not expected in a disease characterized by early systemic spread. The underlying mechanisms whereby the application of ionizing radiation to the primary tumor site can have systemic effects remain unclear and are the subject of much debate. In the present article we discuss the hypothesis that radiotherapy has unique biological effects and that, in addition to killing residual neoplastic cells after surgery is performed, it might favorably alter the microenvironment at the primary tumor site during the process of wound healing and the development of antitumor immune responses.
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