Current Approaches in Bone Metastasis Radiotherapy

Yıl 2024, Cilt: 19 Sayı: 3, 167 - 173, 04.11.2024

Neslihan Kurtul

https://doi.org/10.17517/ksutfd.1475932

Öz

Bone metastases comprise a significant portion of the areas where palliative radiotherapy is applied. Radiotherapy can be easily used for uncomplicated painful bone lesions without serious side effects. However, complicated bone metastases should be evaluated surgically before radiotherapy. Metastatic Spinal Cord Compression, included in this group, is among the oncological emergencies. If the patient cannot be operated on, radiotherapy should be given urgently. Increasing life spans also increase the need for radiation therapy in the same area again. In case of re-irradiation to bone metastases, special attention should be given to the tolerance doses of normal tissues, especially the spinal cord. Radiotherapy has become an effective and reliable treatment method in the treatment of bone metastases, both for the first time and re-irradiation cases, with current technological developments.

Anahtar Kelimeler

Bone Neoplasms, Radiation Therapy, Re-Irradiation

Kemik Metastazı Radyoterapisinde Güncel Yaklaşımlar

Öz

Kemik metastazları, palyatif radyoterapi yapılan bölgelerin önemli bir kısmını oluşturmaktadır. Radyoterapi, komplike olmayan ağrılı lezyonlar için ciddi bir yan etki olmaksızın kolaylıkla uygulanabilir. Fakat komplike kemik metastazları, radyoterapi öncesi cerrahi açıdan değerlendirilmelidir. Bu grupta yer alan ve onkolojik aciller arasında olan Metastatik Spinal Kord Kompresyonunda, hasta opere olamayacaksa acil radyoterapi uygulanmalıdır. Artan yaşam süreleri aynı alana yeniden radyoterapi ihtiyacını da artırmaktadır. Yeniden ışınlama yapılması gereken durumlarda da özellikle spinal kord gibi normal dokuların tolerans dozlarına çok dikkat edilmelidir. Radyoterapi, güncel teknolojik gelişmeler sayesinde, kemik metastazlarının tedavisinde hem ilk kez hem de yeniden ışınlama durumlarında etkili ve güvenilir bir tedavi yöntemi haline gelmiştir.

Anahtar Kelimeler

Kemik Metastazı, Radyoterapi, Yeniden Işınlama

Kaynakça

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