肺癌放射治疗的几个问题.ppt

文档介绍：肺癌放射治疗的几个问题
西安交通大学第一附属医院 放疗科
MENG JUNQI
Study notes
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NSCLC的放射治疗
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Introduction
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Strategy
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Challenges Forward
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Conclusion
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Cancer Statistics, 2010
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Cancer Statistics, 2010
Stage of Diagnosis
Five-year relative survival rates among patients diagnosed with selected cancers by race and stage at diagnosis, US, 1999 to 2005
Stage of Diagnosis
Distribution of selected cancer by race and stage at diagnosis, US, 1999 to 2005
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NSCLC
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Overview
NSCLC accounts for more than 85% of all LC
219,440 new cases (116,090 in men and 103,350 in women) and 159,390 deaths (88,900 in men and 70,490 in women) in 2009
15% alive 5 year or more
Common symptoms: cough, dyspnea, wt loss, and chest pain
Primary risk: smoking (account for 85%). Asbestos increase the risk
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Classification and Prognostic
2 major types: squamous cell (epidermoid ) and non squamous carcinoma
Good prognostic Factors: good PS, wt loss<5%, female gender
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NSCLC的分期与TNM
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The role of radiotherapy in NSCLC
Scott Tyldesley 等应用循证医学的方法对放射治疗在NSCLC中的作用进行分析：
% 需要接受放疗
%在首程中接受放射治疗
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——手术 or 放疗?
早期NSCLC
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