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[Conformal radiotherapy for vertebral bone metastasis]
- Source :
- Cancer Radiothérapie, Cancer Radiothérapie, Elsevier Masson, 2016, 20 (6-7), pp.493-499. ⟨10.1016/j.canrad.2016.07.081⟩
- Publication Year :
- 2016
- Publisher :
- HAL CCSD, 2016.
-
Abstract
- International audience; Analgesic external beam radiation therapy is a standard of care for patients with uncomplicated painful bone metastases and/or prevention of bone complications. In case of fracture risk, radiation therapy is performed after surgery in a consolidation of an analgesic purpose and stabilizing osteosynthesis. Radiotherapy is mandatory after vertebroplasty or kyphoplasty. Spinal cord compression - the only emergency in radiation therapy - is indicated postoperatively either exclusively for non surgical indication. Analgesic re-irradiation is possible in the case of insufficient response or recurrent pain after radiotherapy. Metabolic radiation, bisphosphonates or denosumab do not dissuade external radiation therapy for pain relief. Systemic oncological treatments can be suspended with a period of wash out given the risk of radiosensitization or recall phenomenon. Better yet, the intensity modulated radiotherapy and stereotactic radiotherapy can be part of a curative strategy for oligometastatic patients and suggest new treatment prospects.
- Subjects :
- Organs at Risk
Spinal Neoplasms
Radiotherapy
Soins oncologiques de supports
Conformal
Intensity-modulated
Vertèbre
Pain
Bone metastasis
[SDV.CAN]Life Sciences [q-bio]/Cancer
Métastase osseuse
Decompression, Surgical
Spine
Douleur
Patient Education as Topic
Back Pain
Quality of Life
Humans
Radiotherapy, Conformal
Spinal Cord Compression
Supportive care
Radiotherapy, Image-Guided
Radiothérapie
Subjects
Details
- Language :
- English
- ISSN :
- 12783218
- Database :
- OpenAIRE
- Journal :
- Cancer Radiothérapie, Cancer Radiothérapie, Elsevier Masson, 2016, 20 (6-7), pp.493-499. ⟨10.1016/j.canrad.2016.07.081⟩
- Accession number :
- edsair.pmid.dedup....32d8d0b45957e022adabfa7ae9d25a8a