title: [Radiotherapy for nasopharyngeal carcinoma].
abstract: Nasapharyngeal carcinoma is a rare disease. Oftenly, the diagnostic is made for advanced disease. Localized tumors, T1 or T2 NO observed a good prognosis and are locally controlled in more than 90 % of the cases by radiotherapy alone. The standard treatment of locally advanced disease is combined chemoradiation. A special vigilance of fast decrease of the volume of the pathological lymph nodes, sometimes associated to loss of weight might indicate an adaptive dosimetric revision. The treatment of recurrent disease is of great importance. Surgical indications are limited but should be discussed in multidisciplinary tumor board when possible. Surgical nodal sampling has to be proposed for nodal recurrence as well as reirradiation, which could be indicated according to the technical issues.
authors: Département de radiothérapie, centre Georges-François-Leclerc, 1, rue du Professeur-Marion, 21079 Dijon cedex, France. Electronic address: pmaingon@cgfl.fr.
authors: P
authors: P
authors: Maingon
authors: Département de radiothérapie, institut Gustave-Roussy, 94800 Villejuif, France.
authors: P
authors: P
authors: Blanchard
authors: Service de radiophysique médicale, centre Georges-François-Leclerc, 1, rue du Professeur-Marion, 21079 Dijon cedex, France.
authors: F
authors: F
authors: Bidault
authors: Service de radiophysique médicale, institut Gustave-Roussy, 94800 Villejuif, France.
authors: L
authors: L
authors: Calmels
mesh_terms: D059248:Chemoradiotherapy; D003131:Combined Modality Therapy; D019583:Dose Fractionation, Radiation; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D009303:Nasopharyngeal Neoplasms / Q000532:radiotherapy* / Q000628:therapy; D009364:Neoplasm Recurrence, Local / Q000532:radiotherapy; D058958:Organs at Risk; D011832:Radiation Injuries / Q000209:etiology / Q000517:prevention & control; D011878:Radiotherapy / Q000009:adverse effects / Q000379:methods* / Q000592:standards; D011879:Radiotherapy Dosage; D011880:Radiotherapy Planning, Computer-Assisted; D061089:Radiotherapy, Image-Guided
keywords: Adaptive radiotherapy; Chemoradiation; Intensity modulated radiotherapy; Nasopharynx; Radio-chimiothérapie; Radiothérapie adaptative; Radiothérapie avec modulation d’intensité