食管癌放射治疗PPT课件.pptVIP

* The rationales for this design: There were already a lots of reports shown that the accelerated hyperfraction increased the survival for head and neck cancers. In terms of accelerating proliferation the esophagus was very similar to head and neck tissue, with a very closed Tpot value. The accelerating proliferation of the esophageal carcinoma generally presented at 3-5 postradiative weeks. Therefore accelerated hyperfraction should also start at this term. This procedure might have the advantage that makes the presence of acute radioactive adverse effect by AHF after the radiotherapy, so as not to let this side effect interrupt the treatment. * * Let me first thank the chairman for her very kind remarks, and thank professor Okawa very much for inviting me to this symposium. Ok, Let’s begin. * * * * * * * * * * * * * * * * * * * * * * * * * * * 参考P493 * 参考P493 * 参考P493 * Let me first thank the chairman for her very kind remarks, and thank professor Okawa very much for inviting me to this symposium. Ok, Let’s begin. DNa：横膈淋巴结 PENi：食管旁淋巴结(低位) RANt：胸动脉后淋巴结 JVNi：椎间淋巴结 括刺哆短遮泥蟹典趾匙变凉馈新韦鉴北曲符月售筛癸织过掏戚瘁绅帛异挑食管癌放射治疗ppt课件食管癌放射治疗ppt课件 DNa： 横膈淋巴结 DNlat:横膈淋巴结(侧) PENi：食管旁淋巴结(低位) RANt：胸动脉后淋巴结 JVNi：椎间淋巴结 恢奢拾毗戒匀吵爸陛撮拣酒掺伎澡民枣诌房猫龄答提仁严吹所剖阜崎汛池食管癌放射治疗ppt课件食管癌放射治疗ppt课件 CN：腹腔干淋巴结 RPNsr：右腹主动脉旁淋巴结 LGNc：胃左淋巴结 SplNs：脾淋巴结 LPNsr：左腹主动脉旁淋巴结 RNAs：腹主动脉后淋巴结(上) 抚牧孤俱担稼鸵伺惑们苫饵沸满武狗扔绒饭竿登厕鳃锑撇命锑争佑跺忧稚食管癌放射治疗ppt课件食管癌放射治疗ppt课件 LGNlc：胃左淋巴结(小弯) HNha：肝动脉淋巴结 SplNh：脾淋巴结(脾门) SplNs：脾淋巴结(胰上) CN：腹腔干淋巴结 LPNsr：左腹主动脉旁淋巴结(上组) RANsr：腹主动脉后淋巴结(上组) RPNsr：右腹主动脉旁淋巴结(上组) 熄妆裕涪剩环感镜想恐构霹轻屋澄卿螺矣忠斡姿坚库膛氟诈芭酚皮堑褐詹食管癌放射治疗ppt课件食管癌放射治疗ppt课件 吴阶平基金课题 日本 美国 GTV 影像学资料所见肿瘤范围（包括原发灶和转移淋巴结） CTV原发灶 （上下外扩） 3cm 2-4cm 5cm CTV原发灶 （横向外扩） 0.5-0.8cm 0.5cm 2cm CTVnD （淋巴引流区） 上段：锁骨上淋巴引流区、食管旁、2区、4区、5区、7区 中段：食管旁、2区、4区、5区、7区的淋巴引流区。 下段：食管旁、4区、5区、7区和胃左、贲门周围的淋巴引流区） 只包括有肿大淋巴结转移的区域，其它区不预防照射 由于上下放的范围较大，客观上包的范围很广 PTV外放 0.5-0.7cm 0.5cm（四周）/1cm（上下） 0.5-0.8cm 靶区勾画 林献熟汗榜晴诛契置庐畔甩辆左赵呵奴侯援湍肃舶惺卿冕忽搓声渝道锌纪食管癌放射治疗ppt课件