Tumor Biology’s Impact on Clinical Cure Rates

作者: Michael Baumann , Mechthild Krause

DOI: 10.1007/978-3-540-74386-6_19

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摘要: Cure of cancer is defined as locoregional tumor control without distant metastases and life-threatening treatment complications. Radiotherapy one the main modalities. As a local treatment, its aim to achieve by inactivation all stem cells within primary regional lymph nodes. Treatment effects on are therefore focus this chapter; however, also potential indirect risk briefly considered. It well recognized that probability permanently tumors increases sigmoid function with increasing radiation dose. Below threshold, dose not sufficient inactivate in tumor, i.e. recur. After dose, approaching 100% at high doses. Even if some data suggest higher metastatic during radiotherapy, successful radiotherapy an effective way stop metastasis source, thereby importantly contributing overall survival patient. Inclusion biological parameters individual anticipated further improve results tailoring schedule, combining modern drugs, taking into account intratumoral heterogeneity based imaging.

参考文章(108)
J N Godlee, Textbook of Radiotherapy: 3rd edn. Journal of the Royal Society of Medicine. ,vol. 74, pp. 858- 858 ,(1981)
Herman Suit, Ayman Allam, J Allalunis-Turner, William Brock, Theodore Girinsky, Sally Hill, N Hunter, Luka Milas, Robert Pearcey, Lester Peters, Danny R Welch, Catharine West, Jimmy Efird, Is Tumor Cell Radiation Resistance Correlated with Metastatic Ability Cancer Research. ,vol. 54, pp. 1736- 1741 ,(1994)
Michael C Joiner, Albert J van der Kogel, Basic Clinical Radiobiology ,(2009)
Improved survival with preoperative radiotherapy in resectable rectal cancer. The New England Journal of Medicine. ,vol. 336, pp. 980- 987 ,(1997) , 10.1056/NEJM199704033361402
J. Martin Brown, Laura D. Attardi, The role of apoptosis in cancer development and treatment response Nature Reviews Cancer. ,vol. 5, pp. 231- 237 ,(2005) , 10.1038/NRC1560
Johann Kummermehr, Klaus-Rüdiger Trott, 12 – Tumour stem cells Stem Cells. pp. 363- 399 ,(1997) , 10.1016/B978-012563455-7/50013-1
Timothy J. Whelan, Jim Julian, Jim Wright, Alejandro R. Jadad, Mark L. Levine, Does Locoregional Radiation Therapy Improve Survival in Breast Cancer? A Meta-Analysis Journal of Clinical Oncology. ,vol. 18, pp. 1220- 1229 ,(2000) , 10.1200/JCO.2000.18.6.1220