Radioterapia

)tVLFD GH ODV 5DGLDFLRQHV ,RQL]DQWHV HQ 5DGLRWHUDSLD  9HUVLyQ 6HSWLHPEUH 

)Ì6,&$ '( /$6 5$',$&,21(6 ,21,=$17(6 (1 5$',27(5$3,$

&DUORV )HUQiQGH] )HUQiQGH] 6HUYLFLR GH 5DGLRItVLFD \ 3URWHFFLyQ 5DGLROyJLFD &HQWUR 2QFROyJLFR GH *DOLFLD $ &RUXxD

1

)tVLFD GH ODV 5DGLDFLRQHV ,RQL]DQWHV HQ 5DGLRWHUDSLD  9HUVLyQ 6HSWLHPEUH 

3UHIDFLR
(O SUHVHQWH GRFXPHQWR SUHWHQGHVHU XQD LQWURGXFFLyQ D OD )tVLFD HQ 5DGLRWHUDSLD GHVWLQDGD D OD IRUPDFLyQ GH DTXHOODV SHUVRQDV TXH YD\DQ D GHVHPSHxDU VX ODERU HQ HVWH FDPSR PpGLFRV HQIHUPHUDV GRVLPHWULVWDV RSHUDGRUHV  \ TXH SRU VX IRUPDFLyQ SUHYLD QR KD\DQ DGTXLULGR ORV FRQRFLPLHQWRV QHFHVDULRV HQ HVWD PDWHULD R ELHQ GHVHHQ DPSOLDUORV (O WH[WR FRQVWLWX\H OD  YHUVLyQ UHYLVDGD DFWXDOL]DGD \ PHMRUDGD GHO FRQWHQLGRRULJLQDO GHO OLEUR GHO PLVPR WtWXOR ´)tVLFD GH ODV 5DGLDFLRQHV ,RQL]DQWHV HQ 5DGLRWHUDSLDµ GH MXQLR GH  +D VLGR UHDOL]DGR VLQ QLQJ~Q iQLPR GH OXFUR \ FRQ HO ~QLFR ILQ GH XWLOL]DUOR HQ XQ FRQWH[WR ORFDO SDUD OD HQVHxDQ]D GH OD )tVLFD GH ODV 5DGLDFLRQHV HQ HO FDPSR GH OD 5DGLRWHUDSLD /D FRSLD WRWDO R SDUFLDO GH HVWH GRFXPHQWR FRQ RWUD ILQDOLGDG TXH OD DQWHULRUPHQWH H[SXHVWD SRGUtD YXOQHUDUGHUHFKRV GH DXWRU WDQWR GHO WH[WR FRPR GH ODV IRWRJUDItDV H LOXVWUDFLRQHV TXH FRQWLHQH SRU OR TXH VH UHFRPLHQGD FRQWDFWDU DQWHV FRQ ORV DXWRUHV GH ORV PLVPRV (Q OD VHJXQGD YHUVLyQ PD\R  VH UHIRUPy \ UHRUGHQy HQ PD\RU R PHQRU PHGLGD HO FRQWHQLGR GH FDVL WRGRV ORV WHPDV FRUULJLHQGR DGHPiV DOJXQDV HUUDWDV SUHVHQWHV HQ OD YHUVLyQ RULJLQDO &DEH VHxDODU D HVWH UHVSHFWR OD DPSOLDFLyQ DFRPHWLGDHQ ORV FDStWXORV GHGLFDGRV D OD GHVFULSFLyQ GH ODV XQLGDGHV GH 5DGLRWHUDSLD ([WHUQD \ DO FRQWURO GH FDOLGDG GHO HTXLSDPLHQWR 6H LQFOX\y XQ QXHYR FDStWXOR HQ HO TXH VH KDFH XQD EUHYH LQWURGXFFLyQ D FLHUWDV WpFQLFDV HVSHFLDOHV GH 5DGLRWHUDSLD FRPR VRQ OD LQWHQVLGDG PRGXODGD OD UDGLRFLUXJtD OD UDGLRWHUDSLD LQWUDRSHUDWRULD OD EUDTXLWHUDSLD SURVWiWLFD FRQ VHPLOODV R OD LUUDGLDFLyQ FRUSRUDO WRWDO7DPELpQ VH DxDGLy HO WHPD GH ODV UHDFFLRQHV QXFOHDUHV LQFOXtGR HQ HO FDStWXOR GHGLFDGR D OD 5DGLDFWLYLGDG DVt FRPR GLIHUHQWHV DQH[RV FRQ WDEODV GH GHFDLPLHQWR UDGLDFWLYR SDUD DOJXQRV UDGLRLVyWRSRV \ PDWULFHV GH GRVLV SDUD IXHQWHV GH LULGLR GH XVR FOtQLFR 3RU ~OWLPR VH SURFHGLy D FDPELDU FLHUWRV DVSHFWRV GHO IRUPDWR GH HGLFLyQ GHO WH[WR LQWHQWDQGR KDFHUOR PiV DJUDGDEOH D OD OHFWXUD 7RGRHOOR KD GDGR FRPR UHVXOWDGR XQ GRFXPHQWR EDVWDQWH PiV H[WHQVR TXH HO RULJLQDO SHUR PiV DSURSLDGR SDUD ORV REMHWLYRV SHUVHJXLGRV (Q OD WHUFHUD YHUVLyQ HQHUR  VH KDQ LQFOXLGR GHQWUR GHO FDStWXOR GH 3URWHFFLyQ 5DGLROyJLFD &RQFHSWRV *HQHUDOHV ORV WHPDV UHODWLYRV DO WUDQVSRUWH GH PDWHULDOHV UDGLDFWLYRV \ D OD JHVWLyQ GH UHVLGXRV UDGLDFWLYRV $GHPiV VH KD DxDGLGR XQ FDStWXOR GHGLFDGR HQH[FOXVLYD DO GLVHxR GH ODV LQVWDODFLRQHV GH 5DGLRWHUDSLD ([WHUQD (Q HVWD FXDUWD YHUVLyQ VHSWLHPEUH  VH FUHD XQ QXHYR FDStWXOR GHGLFDGR DO SURFHVR UDGLRWHUiSLFR HQ JHQHUDO GHVFULELHQGR HQ PD\RU R PHQRU GHWDOOH HO GHVDUUROOR GH ODV GLIHUHQWHV HWDSDV FOtQLFDV TXH FRQVWLWX\HQ HO PLVPR \ KDFLHQGR pQIDVLV HQ HO XVR GH OD ILFKD GH WUDWDPLHQWR 3RU RWUD SDUWH VH LQWURGXFHQ ORV FRQFHSWRV GHXQLIRUPLGDG SODQLWXG \ VLPHWUtD GH KDFHV HQ HO FDStWXOR GHGLFDGR D ODV FDUDFWHUtVWLFDV GH ORV KDFHV GH UDGLDFLyQ HQ 5DGLRWHUDSLD ([WHUQD 7DPELpQ VH OOHYD D FDER XQD GHVFULSFLyQ PiV H[WHQVD GH ORV GLVWLQWRV QLYHOHV GH SODQLILFDFLyQ HQ HO GHGLFDGR D OD SODQLILFDFLyQ \ GLVHxR GH KDFHV 3RU ~OWLPR GHQWUR GHO FDStWXOR HQ HO TXH VH GHVFULEHQ ODV XQLGDGHV GH 7HOHWHUDSLD VH KD DxDGLGR XQ DSDUWDGR HQ HO TXHH[SOLFD FRQ GHWDOOH OD GHILQLFLyQ \ HO FRQYHQLR GH JLURV \ PRYLPLHQWRV VHJXLGRV HQ ODV XQLGDGHV PRGHUQDV GH WHOHWHUDSLD (O WH[WR RULJLQDO HVWi EDVDGR IXQGDPHQWDOPHQWH HQ HO GRFXPHQWR ´,QWURGXFFLyQ D OD )tVLFD GH OD 5DGLRWHUDSLDµ GH 3HGUR 6iQFKH] *DOLDQR +RVSLWDO &HQWUDO GH $VWXULDV DO FXDO FRUUHVSRQGH JUDQ SDUWH GHO WH[WR \ GH ODV LOXVWUDFLRQHV \ TXH HQ VX PRPHQWR VH KDOODED GLVSRQLEOH...