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159例复发性乳腺癌的放射治疗

RADIOTHERAPY FOR LOCAL RECURRENCE OF BREAST CARCINOMA AFTER MASTECTOMY

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【作者】 张锡珍; 缪毓玉;

【Author】 Zhang Xi-zhen et al Dept. of Radiation Oncology, Cancer Hospital, Shanghai Medical Universitg, Shanghai

【机构】 上海医科大学附属肿瘤医院放射治疗科; 上海医科大学附属肿瘤医院放射治疗科;

【摘要】 <正> 本文分析159例复发性乳腺癌用不同射野照射的治疗结果,以探索较理想的照射方法。 材料及方法 我科自1977年~1982年收治乳腺癌根治术后同侧胸壁复发病例共159例,不包括有远处转移的病例及单纯淋巴结复发病例。在159例中,单纯胸壁复发的93例,胸壁复发伴同时有区域性淋巴结转移的66

【Abstract】 A retrospective analysis of a serles of 159 patients treated for chest wall recurrenc?of breast cancer after mastectomy showed a 5-year survival rate of 33. 3%. Patients with large rectirrent lesions or multiple nodes, short remission time andlow radiation dosage had an unfavorable prognosis. Smsll field irradiation gave worseresult than that of large field or whole chest wall irradiation. The author recommendslarge fields and a dosage greater than 50 Gy. 83 patients had received chemotherapybefore or after radiation, and unfavorable prognosis occurred more in this group. The5-year survival rate in radio-plus chemotherapy group and radiation alone group was39. 8%and 26. 3% respectively. The results favored the use of radiotherapy plus chemotherapy for patients whoexpected an unfavorable prognosis.

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