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首页> 外文期刊>Radiotherapy and oncology: Journal of the European Society for Therapeutic Radiology and Oncology >Is cardiac toxicity a relevant issue in the radiation treatment of esophageal cancer?
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Is cardiac toxicity a relevant issue in the radiation treatment of esophageal cancer?

机译:在食道癌的放射治疗中,心脏毒性是否是相关问题?

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Purpose: In recent years several papers have been published on radiation-induced cardiac toxicity, especially in breast cancer patients. However, in esophageal cancer patients the radiation dose to the heart is usually markedly higher. To determine whether radiation-induced cardiac toxicity is also a relevant issue for this group, we conducted a review of the current literature. Methods: A literature search was performed in Medline for papers concerning cardiac toxicity in esophageal cancer patients treated with radiotherapy with or without chemotherapy. Results: The overall crude incidence of symptomatic cardiac toxicity was as high as 10.8%. Toxicities corresponded with several dose-volume parameters of the heart. The most frequently reported complications were pericardial effusion, ischemic heart disease and heart failure. Conclusion: Cardiac toxicity is a relevant issue in the treatment of esophageal cancer. However, valid Normal Tissue Complication Probability models for esophageal cancer are not available at present. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
机译:目的:近年来,已经发表了几篇关于辐射引起的心脏毒性的论文,特别是在乳腺癌患者中。但是,在食道癌患者中,对心脏的辐射剂量通常明显更高。为了确定辐射诱发的心脏毒性是否也是该组的相关问题,我们对当前文献进行了回顾。方法:在Medline中进行文献检索,以获取有关食管癌患者接受放化疗或未放化疗的心脏毒性的论文。结果:有症状的心脏毒性反应的总发生率高达10.8%。毒性与心脏的多个剂量-体积参数相对应。报道最频繁的并发症是心包积液,缺血性心脏病和心力衰竭。结论:心脏毒性是食管癌治疗的相关问题。但是,目前尚无有效的食管癌正常组织并发症概率模型。 (C)2014 Elsevier Ireland Ltd.保留所有权利。

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