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作者总结了美国San Diego海军医院1954～1966年间治疗的617例肺癌患者的经验。68例肿瘤不能切除或虽已切除但肺癌已蔓延到脏层胸膜以外的范围,故不包括在本研究内。219例病灶局限在肺部。142例作了肺叶切除,77例作了全肺切除;按病理分类:鳞状上皮癌124例,腺癌46例,未分化癌49例。219例中没有淋巴结转移的123例,有淋巴结转移的96例。接受术后放疗的共125例。治疗野包括肺门、纵隔、锁骨上区,肿瘤侵犯脏层胸膜,治疗野包括原发肿瘤部位。计划的肿瘤量是5,000～6,000拉得,某些病人因为健康恶化不能
The authors summarize the experience of 617 patients with lung cancer who were treated between 1954 and 1966 in the San Diego Naval Hospital in the United States. The 68 tumors were not resected or had been removed but lung cancer had spread beyond the visceral pleura and therefore were not included in this study. 219 lesions were confined to the lungs. 142 patients underwent lobectomy and 77 underwent pneumonectomy. According to pathological classification, there were 124 cases of squamous cell carcinoma, 46 cases of adenocarcinoma, and 49 cases of undifferentiated carcinoma. Of the 219 patients, 123 had no lymph node metastasis and 96 had lymph node metastasis. A total of 125 patients received postoperative radiotherapy. The treatment field included hilar, mediastinal and supraclavicular regions, and the tumor invaded the visceral pleura. The treatment field included the primary tumor site. The planned tumor volume is 5,000 to 6,000 ruts, and some patients cannot be