摘要
1976~1990年收治Ⅰ期喉癌(T1N0M0)88例,采用常规分割放疗,照射剂量为DT70Gy/7周。分析放疗效果及失败因素,总的5年生存率为72.7%;其中声门型为82.1%,声门上型为56.2%;高分化鳞癌为78.3%,低分化鳞癌为96.1%,未分化病为100%,乳头状瘤癌变为33.3%,腺癌为25%,腺鳞癌、腺样囊性疾、喉粘膜白斑癌变均为剧。在选择治疗方案时,对于病理类型属于放射敏感性差、控制率低的癌,或肿瘤为声门上型,可适当考虑首选手术切除,以达到首次治疗最大限度控制肿瘤的目的。
Eighty-eight cases of Stage -Ⅰ cancer of larynx were treated with conventional fractionation irradiation in the period of 1976-1990. The overall 5-year local control rate was 72. 7%. However the same rate varied very much with the site and the pathologic type of the lesion. For less radiosensitive lesions such as supraglottic carcinomas surgical excision seemingly more preferable.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1997年第3期200-202,共3页
Chinese Journal of Clinical Oncology
关键词
喉肿瘤
放射疗法
病例分析
Cancer of larynx Radiotherapy Failure