摘要
目的：探讨扁桃体癌放射治疗的疗效及预后因素。方法：回顾性分析107例经病理证实的扁桃体癌患者的临床病理资料,均行单纯根治性放射治疗。Ⅰ期5例,Ⅱ期14例,Ⅲ期27例,Ⅳ期61例。生存分析采用Kaplan-Meier法及Logrank检验,多因素分析采用Logistic回归模型。结果：全组5年总生存率为45.8%。Ⅰ期-Ⅳ期5年生存率分别为89.6%、72.2%、54.3%和38.9%。多因素分析显示UICC分期为主要的预后因素。结论：UICC分期为扁桃体癌的主要的预后因素,单纯放射治疗对Ⅰ、Ⅱ期扁桃体癌病变可取得较好的疗效。
Objective： To evaluate the therapeutic outcome and define the prognostic factors in patients with tonsiUar carcinoma after radical radiotherapy. Methods： 107 patients with pathologically confirmed tonsillar carcinoma were treated with radical radiotherapy. According to TNM staging system, there were 5 Stage Ⅰ , 14 Stage Ⅱ 27 Stage Ⅲ and 61 StageⅣ patients. The significance of prognostic variables in the survival expectancy was evaluated with multivariate analysis and Cox stepwise regression model. Results： The 5-year total survival rates were 45.8%. The 5-year survival rates base Ⅳ. Multivariate analysis showed that UICC stages were the significant prognostic factors. Conclusion： Radiotherapy is an effective way to treat tonsillar carcinoma, especially for Stage Ⅰ and Ⅱ patients who are likely to give good results.
出处
《肿瘤预防与治疗》
2009年第2期173-175,共3页
Journal of Cancer Control And Treatment
关键词
扁桃体肿瘤
放射疗法
预后
Tonsillar Carcinoma
Radiotherapy
Prognosis
