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局部进展期胰腺癌的放射治疗

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Author:: No author available

Journal Title:: Chinese Journal of Pancreatology

Issue:: 2

DOI:: 10.3760/cma.j.issn.1674-1935.2015.02.021

Key Word:: No keyword available

Abstract：胰腺癌是一种具有高度侵袭性的恶性肿瘤,其发病率与死亡率接近1:1.目前手术切除仍是胰腺癌治愈的首选手段.然而,只有20％的肿瘤在诊断时是可切除的,30％～40％的胰腺癌患者,虽然肿瘤局限于胰腺区域,但却不可切除[1].美国国立综合癌症网络(national comprehensive cancer network,NCCN)推荐将未出现远处转移的胰腺导管腺癌(pancreatic ductal adenocarcinoma,PDAC)按是否能手术分为可切除、临界可切除和不可切除3种.其主要的判定依据是CT影像中病灶周围重要动、静脉的受侵程度[2].而临界可切除及不可切除胰腺癌均属于局部进展胰腺癌(locally advanced pancreatic cancer,LAPC).

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