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在上呼吸道的恶性肿瘤中,扁桃体癌仅次于喉癌。本文分析扁桃体鳞癌36例,其中31例有T_2及T_3病变。男女之比为5:1,多数为50～69岁。最常见的症状为咽喉痛,患病常不到4个月即已就诊。采用术前4周内用放疗4000～4500R,4～6周后,用手术切除原发瘤,并作颈廓清术。迄今所得2年绝对存活率为56％,确定存活率为67。肿瘤复发均在第二年中出现。不利于预后的因素为颈部有固定的淋巴结,病理标本中2个以上淋巴结有阳性发现及病变已侵及舌部者。
Of the malignant tumors of the upper respiratory tract, tonsillar cancer is second only to laryngeal cancer. This article analyzes 36 cases of tonsil squamous cell carcinoma, of which 31 cases have T 2 and T 3 lesions. The male to female ratio is 5:1, and the majority is 50 to 69 years old. The most common symptom is sore throat, which has been diagnosed within 4 months. The use of radiotherapy 4000 ~ 4500R within 4 weeks before surgery, 4 to 6 weeks after surgery to remove the primary tumor and neck dissection. The 2-year absolute survival rate so far has been 56%, and the confirmed survival rate was 67. Tumor recurrence occurred in the second year. The unfavorable factors for the prognosis were fixed lymph nodes in the neck. There were positive findings in more than two lymph nodes in pathological specimens and lesions invaded the tongue.