子宫内膜癌治疗原则及其术后和术后复发放射治疗的研究进展

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[中图分类号] R737.33 [文献标志码] A

ABSTRACTEndometrial cancer is one of the common malignant tumors of the female reproductive system. Its incidence rate in China is second only to cervical cancer，posing a serious threat to women's life and health，and the onset shows a trend of affcting younger individuals.Currently，the primary treatment for endometrial cancer is surgical intervention，and some postoperative patients and those with postoperative recurrence require adjuvant radiotherapy.Pelvic external beam radiotherapy （EBRT） and vaginal brachytherapy（VBT） are two modalities of postoperative radiotherapy. The appropriate postoperative radiotherapy approach should be selected based on individual conditions and guideline recommendations.Most patients can achieve satisfactory treatment outcomes through surgery and postoperative adjuvant radiotherapy.However，the specific indications for postoperative radiotherapy in endometrial cancer patients and the radiotherapy principles for those with postoperative recurrence are relatively complex，and recommendations for radiotherapy modalitiesin postoperative patientsvary slightly across different guidelines. This article reviews the treatment principles for endometrial cancer patients in recent years，as well as the indications for postoperative and post operative recurrent radiotherapy and the radiotherapy techniques，aiming to provide a reference for radiotherapy in the endometrial cancer patients.

KEYWORDS Endometrial cancer；Therapy principles；Reproductive system；Radiotherapy； Indication

子宫内膜癌也称子宫体癌，是女性常见的恶性肿瘤之一，发病率仅次于宫颈癌，严重威胁女性生命健康[1]。（剩余17209字）