浅表放射治疗非黑色素瘤皮肤癌:综述

Haowei Han, Anita Gade, Francesca M. Ceci, Alec Lawson, Sloane Auerbach, Mark S. Nestor
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引用次数: 2

摘要

背景非黑色素瘤皮肤癌(NMSC)的高患病率已成为全球卫生保健负担。已经建立了多种治疗NMSC的方法,手术是主要的方法。浅表放射治疗(SRT)已经使用了一个多世纪来治疗各种疾病。最近在皮肤学界的讨论促进了SRT治疗NMSC的使用。材料与方法利用电子数据库(Medline, Pubmed, Embase, CINAHL, EBSCO)和教科书以及作者的SRT临床经验进行文献检索。结果:多次回顾性医疗记录审查认为SRT非常有效,副作用最小。此外,SRT可以产生更好的美容效果。在过去的十年中,由于设备的新技术进步,SRT已成为皮肤科医生治疗NMSC的支柱。这些进展包括改进的可控性、输送的精确性、额外的安全预防措施,并引发了SRT研究和临床证据的复苏。最近的数据显示,NMSC的治愈率约为93%-100%,5年随访数据良好。超声引导下的图像引导SRT在未来可能会进一步提高治愈率。结论SRT是治疗NMSC的有效方法。它也可以有效地用于治疗瘢痕疙瘩。大多数研究的局限性包括局部患者选择和文献中回顾性综述的优势。需要进一步的研究来进一步支持SRT在临床实践中的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Superficial radiation therapy for nonmelanoma skin cancer: A review

Superficial radiation therapy for nonmelanoma skin cancer: A review

Background

The high prevalence of nonmelanoma skin cancer (NMSC) has become a global health-care burden. Various modalities have been established to treat NMSC, with surgery being the mainstay approach. Superficial radiation therapy (SRT) has been in use for over a century to treat various conditions. Recent discussion among the dermatological community has promoted the use of SRT for the treatment of NMSC.

Materials and Methods

A literature search was conducted using electronic databases (Medline, Pubmed, Embase, CINAHL, EBSCO) and textbooks, in addition to the authors' clinical experience with SRT.

Results

Multiple retrospective medical record reviews have deemed SRT to be highly effective and associated with minimal side effects. Moreover, SRT yields superior cosmetic results. Over the past decade, SRT has become a mainstay of dermatologist treatment of NMSC due to the new technological advances of the devices. These advances include improved controllability, precision in delivery, additional safety precautions, and have sparked a resurgence in research and clinical evidence on SRT. Most recent data have revealed that the NMSC cure rate is about 93%–100% with excellent 5-year follow-up data. Image-guided SRT using ultrasound guidance may additionally improve cure rates in the future.

Conclusion

SRT has shown to be an effective option for NMSC. It can also be effectively used in the management of keloids. The limitations across most studies encompass localized patient selection and a predominance of retrospective reviews in the literature. Additional research is warranted to further support SRT's efficacy in clinical practice.

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