2017鼻咽癌国际临床靶区勾画指南解读.pdfVIP

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2017鼻咽癌国际临床靶区勾画指南解读.pdf

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86 2019 46 1 Cancer Res Prev Treat,2019,Vol.46,No.1 · · 肿瘤防治研究年第卷第期 doi:10.3971/j.issn.1000-8578.2019.18.0929 2017鼻咽癌国际临床靶区勾画指南解读 1 1 2 虞鲁诗，宋启斌，韩光 An Interpretation of International Guideline for Delineation of Clinical Target Volumes (CTV) for Nasopharyngeal Carcinoma in 2017 1 1 2 YU Lushi , SONG Qibin , HAN Guang 1. Department of Oncology, Renmin Hospital of Wuhan University, Wuhan 430060, China; 2. Department of Radiation Oncology, Hubei Cancer Hospital, Wuhan 430079, China Corresponding Author: SONG Qibin, E-mail: qibinsong@163.com; HAN Guang, E-mail: hg7913@163.com Abstract: Nasopharyngeal carcinoma (NPC), one of the carcinomas which can be radically cured by radiation therapy, is interested by radiologists. It is well known that the clinical target volumes (CTV) of radiotherapy and the dose are important factors affecting the prognosis of NPC. With the deepening of the research on the biological characteristics and the surrounding adjacent tissue structure of NPC, the existing guidelines may be difficult to meet the current needs for precision medicine. Therefore, international experts in this field made detailed consideration, exchanged opinions and finally published International guideline for the delineation of the clinical target volumes (CTV) for nasopharyngeal carcinoma on Radiotherapy and Oncology in 2018. The guideline suggested that CTVp1=GTVp+5mm margin, CTVp2=5mm expansion from CTVp1, CTVn1=GTVn+5 mm in cases with no extracapsular extension, and CTVn2=CTVn1+5mm expansion. Also, regarding adjacent structures in CTVp2, it made individual recommendations for the respective T-categories. What’s more, it presented panel’s discussions and consensus opinions on the delineation of the organs-at-risk (OARs) and other controversial areas. This article would like to try to int