[Radiotherapy of bone metastases: Which fractionations?].
Fiche publication
Date publication
octobre 2015
Journal
Cancer radiotherapie : journal de la Societe francaise de radiotherapie oncologique
Auteurs
Membres identifiés du Cancéropôle Est :
Dr FAIVRE Jean-Christophe
Tous les auteurs :
Thureau S, Leysalle A, Faivre JC, Lagrange JL
Lien Pubmed
Résumé
First-line palliative radiotherapy for painful bone metastases is an effective treatment whatever its fractionation (single or multiple fractions). It is also indicated after failure or insufficient effect of a first irradiation, or the appearance of new painful site. Other indications are spinal cord compression, either as an adjuvant to surgery or as sole treatment, and after surgery for long bone metastases. The development of high precision techniques (stereotactic conditions) widens the possibility of re-irradiation when tolerance doses to normal tissues have already been delivered. Local control and possibly overall survival could be improved in oligometastatic patients.
Mots clés
Bone metastasis, Dose fractionation, Douleur, Fractionnement, Métastases osseuses, Pain, Radiosurgery, Radiotherapy, Radiothérapie, Stéréotaxie
Référence
Cancer Radiother. 2015 Oct;19(6-7):437-41