山东大学耳鼻喉眼学报 ›› 2019, Vol. 33 ›› Issue (2): 31-34.doi: 10.6040/j.issn.1673-3770.0.2019.072

• 研究进展 • 上一篇    下一篇

鼻咽癌放疗后诱发头颈部恶性肿瘤的治疗

陈瑞1,李杰恩2,*()   

  1. 1. 广西科技大学第一附属医院耳鼻喉科, 广西 柳州 545002
    2. 广西医科大学第一附属医院耳鼻喉咽喉头颈外科, 广西 南宁 530021
  • 收稿日期:2019-02-10 出版日期:2019-03-20 发布日期:2019-03-28
  • 通讯作者: 李杰恩 E-mail:1310715240@qq.com
  • 作者简介:李杰恩,教授,医学博士,博士生导师。主要学术任职:中华医学会变态反应学分会委员,中华医学会耳鼻咽喉头颈外科学分会鼻科学组委员,中华医学会耳鼻咽喉头颈外科学分会青年委员会委员,中国中西医结合学会耳鼻咽喉头颈外科学分会变态反应学组专家组常委,中国医疗保健国际交流促进会过敏科学分会委员,广西医学会变态反应学分会副主任委员,中国中西医结合学会广西耳鼻咽喉头颈外科学分会副主任委员,广西妇幼保健协会儿童耳鼻咽喉头颈外科学分会副主任委员。擅长鼻内镜鼻腔鼻窦手术及鼻眼、鼻颅底手术以及鼻咽癌相关手术。获广西科技进步特别贡献奖1项,广西科技进步奖二等奖3项,广西科技进步奖三等奖2项。主持和参与国家自然科学基金和广西自然基金项目等多项科研课题的研究,发表论文50余篇

Treatment of radiation-induced carcinoma in patients with nasopharyngeal carcinoma

Rui CHEN1,Jieen LI2,*()   

  1. 1. Department of Otolaryngology, the First Affiliated Hospital of Guangxi University of Science and Technology, Liuzhou 545002, Guangxi, China
    2. Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi, China
  • Received:2019-02-10 Online:2019-03-20 Published:2019-03-28
  • Contact: Jieen LI E-mail:1310715240@qq.com

摘要:

放疗是目前治疗鼻咽癌的主要手段,但放疗后可诱发恶性肿瘤。对其诊断及致病机制、发病年龄及潜伏期、诱发肿瘤的病理类型及好发部位、治疗及预后进行综述。

关键词: 鼻咽肿瘤, 放射治疗, 并发症, 诱发恶性肿瘤

Abstract:

Radiotherapy is currently the main treatment modality for nasopharyngeal carcinoma; however, post-radiotherapy, there is considerable risk of development of radiation-induced malignant tumors in the patients. In this paper, we have reviewed the diagnosis, pathogenesis, age and incubation period, pathological types, predilection sites, treatment, and prognosis of radiation-induced tumors.

Key words: Nasopharyngeal neoplasms, Radiotherapy, Complications, Induced malignant carcinoma

中图分类号: 

  • R739.6
1 Kirova YM , Vilcoq JR , Asselain B , et al. Radiation-induced sarcomas after radiotherapy for breast carcinoma: a large-scale single-institution review[J]. Cancer, 2005, 104 (4): 856- 863.
doi: 10.1002/cncr.21223
2 刘新帆.电离辐射的诱发恶性肿瘤效应[M]//殷尉伯,谷铣之.肿瘤放射治疗学.北京:中国协和医科大学出版社, 2002: 35.
3 马缠过, 杨克强. 放射治疗诱发恶性肿瘤32例分析[J]. 中华放射肿瘤学杂志, 2000, 9 (2): 108- 109.
doi: 10.3760/j.issn:1004-4221.2000.02.010
MA Changuo , YANG Keqiang . 32 cases of radiation induced malignant tumor[J]. Chinese Journal of Radiation Oncology, 2000, 9 (2): 108- 109.
doi: 10.3760/j.issn:1004-4221.2000.02.010
4 刘永华, 韩铭钧, 柳学国, 等. 进展期贲门癌术前胃左动脉化疗栓塞的临床应用[J]. 中国肿瘤临床与康复, 2004, 11 (3): 231- 232.
doi: 10.13455/j.cnki.cjcor.2004.03.015
LIU Yonghua , HAN Mingjun , LIU Xueguo , et al. Left gastric arterial chemoembolization in the treatment of advanced cardiac carcinoma before operation[J]. Chinese Journal of Clinical Oncology and Rehabilitation, 2004, 11 (3): 231- 232.
doi: 10.13455/j.cnki.cjcor.2004.03.015
5 Kleinerman RA , Tucker MA , Tarone RE , et al. Risk of new cancers after radiotherapy in long-term survivors of retinoblastoma: an extended follow-up[J]. J Clin Oncol, 2005, 23 (10): 2272- 2279.
doi: 10.1200/JCO.2005.05.054
6 Redpath JL . Radiation-induced neoplastic transformation in vitro: evidence for a protective effect at low doses of low LET radiation[J]. Cancer Metastasis Rev, 2004, 23 (3/4): 333- 339.
doi: 10.1023/B:CANC.0000031771.56142.9b
7 Steeves RA , Bataini JP . Neoplasms induced by megavoltage radiation in the head and neck region[J]. Cancer, 1981, 47 (7): 1770- 1774.
doi: 10.1002/(ISSN)1097-0142
8 陈铭忠, 杨云利. 鼻咽癌放射治疗后后遗症129例临床分析[J]. 广西医科大学学报, 1997, 14 (4): 113- 115.
doi: 10.16190/j.cnki.45-1211/r.1997.04.045
9 马代远, 王仁生. 鼻咽癌放疗后诱发恶性肿瘤85例临床分析[J]. 中国辐射卫生, 2007, 16 (2): 236- 237.
doi: 10.3969/j.issn.1004-714X.2007.02.061
MA Daiyuan , WAaNG Rensheng . Clinical analysis of 85 cases of radiation-induced tumors due to nasopharyngeal carcinoma undergone radio therapy[J]. Chinese Journal of Radiological Health, 2007, 16 (2): 236- 237.
doi: 10.3969/j.issn.1004-714X.2007.02.061
10 Malone JP , Levin RJ . Second malignant tumors after treatment of nasopharyngeal carcinoma: four case reports and literature review[J]. Skull Base, 2002, 12 (2): 87- 91.
doi: 10.1055/s-2002-31576-1
11 王海霞, 刘孟忠, 何立儒, 等. 鼻咽癌放疗后诱发的恶性肿瘤(附198例报道)[J]. 中国肿瘤临床, 2008, 35 (6): 313- 316.
doi: 10.3969/j.issn.1000-8179.2008.06.004
WANG Haixia , LIU Mengzhong , HE Liru , et al. Malignancies induced by radiation therapy for nasopharyngeal carcinoma-a report of 198 cases[J]. Chinese Journal of Clinical Oncology, 2008, 35 (6): 313- 316.
doi: 10.3969/j.issn.1000-8179.2008.06.004
12 Wiklund TA , Blomqvist CP , Räty J , et al. Postirradiation sarcoma. Analysis of a nationwide cancer registry material[J]. Cancer, 1991, 68 (3): 524- 531.
doi: 10.1002/(ISSN)1097-0142
13 Laskin WB , Silverman TA , Enzinger FM . Postradiation soft tissue sarcomas. An analysis of 53 cases[J]. Cancer, 1988, 62 (11): 2330- 2340.
doi: 10.1002/(ISSN)1097-0142
14 Yamamoto E , Shibuya H , Yoshimura R , et al. Site specific dependency of second primary cancer in early stage head and neck squamous cell carcinoma[J]. Cancer, 2002, 94 (7): 2007- 2014.
doi: 10.1002/cncr.v94:7
15 Teo PM , Chan AT , Leung SF , et al. Increased incidence of tongue cancer after primary radiotherapy for nasopharyngeal carcinoma: the possibility of radiation carcinogenesis[J]. Eur J Cancer, 1999, 35 (2): 219- 225.
doi: 10.1016/S0959-8049(98)00386-4
16 张家钰. 放射治疗诱发恶性肿瘤[J]. 中华放射医学与防护杂志, 1998, (2): 138.
doi: 10.3760/cma.j.issn.0254-5098.1998.02.032
17 杨云利, 刘颖新, 陆海杰, 等. 鼻咽癌放射治疗后诱发第二肿瘤临床分析[J]. 肿瘤防治研究, 2003, 30 (1): 60- 61.
doi: 10.3971/j.issn.1000-8578.2003.01.023
YANG Yunli , LIU Yingxin , LU Haijie , et al. 18 cases of radiation induced malignant tumor in nasopharyngeal carcinoma[J]. Cancer Research on Prevention and Treatment, 2003, 30 (1): 60- 61.
doi: 10.3971/j.issn.1000-8578.2003.01.023
18 伍国号, 陈福进, 曾宗渊, 等. 放射诱发的第二原发性恶性肿瘤的临床治疗[J]. 中华肿瘤杂志, 2003, 25 (3): 275- 277.
doi: 10.3760/j.issn:0253-3766.2003.03.020
WU Guohao , CHEN Fujin , ZENG Zongyuan , et al. Treatment of second primary malignant tumor induced by radiotherapy[J]. Chinese Journal of Oncology, 2003, 25 (3): 275- 277.
doi: 10.3760/j.issn:0253-3766.2003.03.020
19 Maisel . Radiotherapy induce head-neck sarcoma[J]. Ear Nose and Throat Journal, 1995, 35 (1): 12- 16.
20 King AD , Ahuja AT , Teo P , et al. Radiation induced sarcomas of the head and neck following radiotherapy for nasopharyngeal carcinoma[J]. Clin Radiol, 2000, 55 (9): 684- 689.
doi: 10.1053/crad.2000.0503
21 Xi M , Liu MZ , Wang HX , et al. Radiation-induced sarcoma in patients with nasopharyngeal carcinoma: a single-institution study[J]. Cancer, 2010, 116 (23): 5479- 5486.
doi: 10.1002/cncr.25329
22 Chan JY , Wong ST , Lau GI , et al. Postradiation sarcoma after radiotherapy for nasopharyngeal carcinoma[J]. Laryngoscope, 2012, 122 (12): 2695- 2699.
doi: 10.1002/lary.23282
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