论文部分内容阅读
本文目的是复习手术和放射治疗晚期头颈部癌的效果,并分析影响复发的因素。材料和方法 1979年1月至1984年6月,45例晚期头颈部肿瘤在美国德州Paklan memorial医院接受手术和术后放疗。肿瘤的原发灶部位在口腔者8例,口咽部16例,喉和梨状窝21例。就诊时25例是第Ⅲ和第Ⅳ期,32例颈部可扪及肿大淋巴结,无1例有远处转移。7例病人在手术和放疗前接受过多程化疗。年龄38岁至78岁,平均75岁。男女之比为1.8:1。所有病人行原发灶切除加根治或改良颈清扫手术。其中12例行双侧颈清扫手术。25例清扫时发现颈淋巴
The purpose of this article is to review the effects of surgery and radiotherapy for advanced head and neck cancer and to analyze the factors that influence recurrence. Materials and Methods From January 1979 to June 1984, 45 patients with advanced head and neck cancer underwent surgery and postoperative radiotherapy at Paklan memorial hospital in Texas, USA. The primary site of the tumor was 8 cases in the oral cavity, 16 cases in the oropharynx, and 21 cases in the larynx and pyriform sac. At the time of treatment, 25 cases were stage III and stage IV, 32 cases had palpable and enlarged lymph nodes in the neck, and none had distant metastases. Seven patients received multiple courses of chemotherapy before surgery and radiotherapy. Ages 38 to 78, with an average age of 75. The ratio between men and women is 1.8:1. All patients underwent primary resection plus radical or modified neck dissection. Among them, 12 patients underwent bilateral neck dissection. 25 cases of cervical lymph node dissection