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yuan fa zao bu ming de jing bu lin ba jie zhuan yi ai zhi liao shi bai yuan yin fen xi
Author(s): 
Pages: 2404-2405
Year: Issue:  20
Journal: THE JOURNAL OF PRACTICAL MEDICINE

Keyword:  肿瘤转移淋巴结综合治疗;
Abstract: 目的:分析原发灶不明的颈部淋巴结转移癌治疗失败原因,探讨治疗方法和技术.方法:共收集68例初程治疗的病例,单纯放射治疗27例,单纯手术治疗8例,手术加放射治疗16例,手术加化疗5例,放疗加化疗12例.结果:全组1、3、5年生存率分别为83.8%、54.4%和33.8%,颈部转移癌未控和复发占45.6%,远地转移率为26.5%.治疗失败的主要原因是N分期、肿瘤部位、病理类型、综合治疗、肿瘤治疗敏感性及放疗照射范围.结论:早期转移性鳞癌局部切除术后采用放射治疗;晚期转移性癌采用放疗与手术综合治疗为主,同时加化疗.低分化或未分化癌活检术后可直接进行放射治疗,放疗后加用化疗.腺癌以手术治疗为主,辅以化疗、放疗等综合治疗.对中上颈转移癌应采用全咽部或鼻咽部预防性照射和全颈部照射,至少应包括全颈部;对锁骨上区淋巴结转移癌可采用局部照射.
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