Rola radioterapii w leczeniu nowotworów wątroby

Abstract

Author(s): Izabela Kordzińska-Cisek, Anna Brzozowska, Paweł Cisek, Jolanta Kijek, Maria Mazurkiewicz

The liver is a common site for both primary and secondary tumors. The mainstay of treatment in most of these neoplasms is surgery. Non-surgical treatment methods include: RFA (radiofrequency ablation), TARE (transarterial radioembolization), TACE (transarterial chemoembolization) as well as cryo- , laser and radiation therapy. Due to its parallel structure, the hepatic parenchyma tolerates high doses of radiation in small volumes. This allows the usage of various methods of conformal radiation therapy. Most often, it is 3D-CRT and stereotaxy. Proton radiation and the usage of carbon ions also yield very good outcomes. The role of brachytherapy in the treatment of hepatic neoplasms is marginal. However, it can be particularly useful in the case of single large hepatic lesions.

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