论文部分内容阅读
目的:总结头颈部横纹肌肉瘤(RMS)的治疗经验,探讨影响其预后的相关因素。方法:分析20年间诊治的31例RMS的临床资料,对其年龄、性别、肿瘤原发部位、诊断、临床分期、治疗方法及效果进行统计分析。结果:RMS 3年、5年生存率分别为51.6%、41.9%;Ⅰ期、Ⅱ期5年生存率为52.6%,Ⅲ期5年生存率为37.5%。手术后20%病人发生远处转移,16%颈淋巴结转移,36%局部复发。结论:RMS恶性程度高,预后与临床分期及治疗方法有关,早期诊断及采用手术+放疗+联合化疗的综合治疗是提高疗效的重要途径。
OBJECTIVE: To summarize the experience of treating head and neck rhabdomyosarcoma (RMS) and to explore the related factors that affect its prognosis. Methods: The clinical data of 31 patients with RMS diagnosed over 20 years were analyzed. The age, sex, primary tumor location, diagnosis, clinical stage, treatment and effect were analyzed statistically. Results: The 3-year and 5-year survival rates of RMS were 51.6% and 41.9% respectively. The 5-year survival rates of stage Ⅰ and Ⅱ were 52.6% and the 5-year survival rates of stage Ⅲ were 37.5%. 20% of patients after surgery, distant metastasis, 16% cervical lymph node metastasis, 36% local recurrence. Conclusion: RMS has a high degree of malignancy, prognosis and clinical stage and treatment methods, early diagnosis and the use of combined surgery + radiotherapy + chemotherapy is to improve the efficacy of an important way.