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原发性和转性肺癌合并胸水,是晚期癌症临床表现之一。曾被认为是放射治疗的禁忌症。我们自1987年7月至1990年2月,采用全胸移动条野~(60)钴照射,治疗恶性胸水16例,取得了较好的姑息效果现报告如下: 材料与方法本组男性12例,女性4例,年龄38～56岁。本组原发性肺癌12例(鳞状细胞癌3例,腺癌2例,未分化癌2例,病理类型不详者5例)。转移性肺癌4例(来自鼻咽鳞状细胞癌2例,乳腺癌2例)。治疗方法:全胸移动条野~(60)钴放疗的照射野包括患侧全部胸腔和纵隔上从肺尖(锁骨上缘上2cm),下至肋膈角水平,外侧至胸壁
Primary and metastatic lung cancer with pleural effusion is one of the clinical manifestations of advanced cancer. It was once considered a contraindication to radiation therapy. From July 1987 to February 1990, we used a full-thorax moving field ~ (60) cobalt irradiation to treat 16 cases of malignant pleural effusion, and achieved a good palliative effect is reported as follows: Materials and Methods 12 cases of this group of men , 4 females, aged 38 to 56 years old. This group of 12 cases of primary lung cancer (squamous cell carcinoma in 3 cases, adenocarcinoma in 2 cases, 2 cases of undifferentiated carcinoma, pathological type in 5 cases). There were 4 cases of metastatic lung cancer (2 cases from nasopharyngeal squamous cell carcinoma and 2 cases from breast cancer). Treatment: The whole chest movement field (60) Cobalt radiotherapy radiation field including the ipsilateral thoracic cavity and mediastinal from the lung tip (2cm above the clavicle), down to the costal horn angle level, lateral to the chest wall