肝臓癌の放射線治療
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概要
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Radiotherapy is not first-line therapy for hepatocellular carcinoma. The indication is the difficult cases to do interventional radiology, microwave surgery and operation, especially huge tumors and tumor thrombus. Radiotherapy is effective for local control in dose dependency. The radiation dose escalation may improve treatment results, but complications may also be increased. Three dimensional conformal radiotherapy should be applied to escalate the radiation dose and to protect the remaining liver and adjacent organs in local radiotherapy for hepatocellular carcinoma. The bone metastases from hepatocellular carcinoma are increasing and good indication for radiotherapy. The purpose of the radiotherapy is decreased the feeling of pain and the tumor reduction.