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病例报告:在安全R0切除背景下,如何为开放性喉部分切除术后量身定制辅助放疗?

Case Report: How to tailor adjuvant radiotherapy after open partial laryngeal surgery in the setting of a secure R0-resection?

临床研究咽喉科IF 3.9Q2

文献信息

中文摘要

在本报告中,我们讨论这一临床病例: 当喉残余,即“新喉”,不属于临床靶区时,应将其勾画为真正的危及器官或回避结构:认识术后解剖有助于最大限度地保留功能结局。此外,提高对这种罕见但极具挑战性的疾病表现的认识,可促进治疗喉癌的放射肿瘤学家之间形成更一致的实践,类似于胸部肿瘤。

英文摘要

In this report, we discuss this clinical case, when the laryngeal remnant, or "neo-larynx", is not part of the clinical target volume, it should be delineated as a bona-fide organ at risk or avoidance structure: recognizing the post-surgical anatomy could help maximize the preservation of the functional outcome. In addition, raising awareness on this rare yet very challenging disease presentation could foster a more homogeneous practice among radiation oncologists treating laryngeal cancer analogue to thoracic cancer.