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放疗后复发鼻咽癌的手术治疗 被引量:14

SURGICAL MANAGEMENT FOR RECURRENT NASOPHARYNGEAL CARCINOMA (NPC) AFTER IRRADIATION
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摘要 选择进行鼻咽切除手术的病例其病灶需限于2cm以内,且位置在顶或后壁;或仅累及咽隐窝边缘者。自1964~1982年我院经硬腭开窗切除鼻咽癌灶的手术共进行45例、5年生存率为51.11%,其中5例生存已超过10年。对颈部放疗后残留和复发的病例则进行颈淋巴清除术,19年中共进行110例,5年生存率为35.4%,其中8例生存已超过10年。本文并对手术切口,颈淋巴清除技术及术后合并症等问题进行了讨论。 Because it is impossible to excise the tissue widely surrounding the NPC the indication for excison is limited to small tumors with a size not exceeded 2cm and with defined margins, the tumor should be mainly located in the roof and/or posterior wall, or Just extending to the edge of Rosunmuller fossa. From 1964-1982 the authors have performed resection of such primary lesions in 45 cases through transpalatal fenestration . The 5 year survival rate was 51,11% , among them 5 cases have survived more than ten years.In this series, the initial treatment for the metastasized cervical lymph nodes was radiotherapy. Surgical management can only be adopted for residual lymph nodes or loecal recurrences after irradiation. During the past 19 years, 110 cases were operated in our hospital. The 5 year survival rate was 35.45%, among them 8 cases have survived more than ten years.In this paper, the surgical incision, the improved technique of neck node dissection and operative complication and etc. were discussed.
出处 《癌症》 SCIE CAS CSCD 北大核心 1989年第5期365-367,共3页 Chinese Journal of Cancer
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