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本文报告我院12例鼻咽癌肺转移癌治疗结果. 临床资料、治疗方法及结果在本组12例中,男10例,女2例:年龄32~54岁,平均年龄41.7岁。鼻咽癌的临床分期:Ⅱ期2例,Ⅲ期7例,Ⅳ期3例.首次放疗至发生肺转移瘤的时间,最短7个月,最长11年9个月。肺转移瘤的诊断依据:所有病例胸部X线照片,多数见中等大的边缘稍不整齐的结节影,4例为双肺广泛转移.12例中手术切除肺部肿块的4例,并经病理检查证实,1例痰细胞学检查为鳞癌细胞。治疗方法:4例施行肺叶切除术与肺转移瘤切除术;其余8例中,因手术有一定困难或病人拒绝手术,故4例给予~(60)钴外放疗,肿瘤量分别为55Gy/48天(NSD
This article reports the results of 12 cases of metastatic lung cancer in nasopharyngeal carcinoma in our hospital. Clinical data, treatment methods and results in this group of 12 cases, 10 males and 2 females: age 32 to 54 years, mean age 41.7 years. Clinical staging of nasopharyngeal carcinoma: 2 cases in stage II, 7 cases in stage III, and 3 cases in stage IV. The time from the first radiotherapy to the occurrence of metastatic lung tumors was as short as 7 months and as long as 11 years and 9 months. The diagnosis of lung metastases was based on chest radiographs of all cases, most of whom had slightly irregular nodules with moderately large margins, 4 cases of extensive metastases of both lungs, and 4 cases of surgically resected lung masses in 12 cases. Pathological examination confirmed that one case of sputum cytology was squamous cell carcinoma. Treatment: 4 patients underwent lobectomy and lung metastasis; in the remaining 8 cases, because of certain difficulties in the operation or the patient refused surgery, 4 patients received 60 (60) cobalt external radiation therapy and the tumor volume was 55 Gy/48. Days (NSD