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原发性肺癌的术后放射——附64例分析

POSTOPERATIVE RADIATION THERAPY IN PRIMARY LUNG CANCER——ANALYSIS OF 64 CASES

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【作者】 张志义张霞芳祝荣芬

【Author】 Zhang Zhi-yi et al

【机构】 上海第一医学院肿瘤医院上海第一医学院肿瘤医院

【摘要】 <正> 上海市区1976年,1,517例原发性肺癌的总五年生存率仅6.2%。在手术的病例中,也仅为25~50%,对各种综合治疗方案的评价各持不同意见。本文就我院手术后放射的64例原发性肺癌,对肺癌术后放射综合治疗进行探讨。

【Abstract】 From January 1973 to December 1978, there were 64 patients with lung cancer whoreceived postoperative radiation therapy in the Cancer Hospital of Shanghai MedicalUniversity. The 3-year and 5-year survival rates were 45.3%(29/64)and 28.1%(18/64),respectively. However, for squamous cell carcinoma of the lung, the 5-year survival rate35.5%(10/30) was better than for adenocarcinoma (25.0%, 7/27). The 5-year survivalrate of patients with stage Ⅲ lung cancer (T1-2N2M0 and T3N1M0) with postoperativeradiation therpy imptoved, but among T8N2 and T1-3N1-2M1 cases, no patients survivedover 5 years. A large proportion of patients with adenocarcinoma (66%, 10/15) andsquamous cell carcinoma (57%, 4/7) developed distant metastases after postoperativeradiation therapy, thus it is suggested that chemotherapy may be given as adjuvanttreatment.

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