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87例腮腺恶性肿瘤的手术和放射综合治疗

SURGERY COMBINED WITH RADIOTHERAPY FOR MALIGNANT PAROTID TUMOR

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【作者】 邱杏仙缪毓玉刘泰福张有望

【Author】 Qiu Xing-xian;Miao Yu-yu;Liu Tai-fu et al. Cancer Hospital, Shanghai Medical University, Shanghai

【机构】 上海医科大学肿瘤医院放射治疗科上海医科大学肿瘤医院放射治疗科

【摘要】 <正> 腮腺恶性肿瘤是头颈部常见恶性肿瘤之一,其手术复发率较高,特别是Ⅲ、Ⅳ期和病理类型属于分化差的肿瘤,复发率可高达50~60%,为了探索有效的治疗方法,本文将我科1970~1981年收治

【Abstract】 Eighty seven cases (age 17-68) with malignant parotid tumor were treated bysurgery and/or radiotherapy, 78.3% were in stage 3 or 4. The overall 5-and 10-yearsurvival rates were 59.8% and 48.1% respectively.8/87 patients received pre-and 68/87received post-operative radiotherapy and 11/87 received radiotherapy only, each grouphad a 5-year survival rate of 62.5%, 58.8% and 63.6% respectively. Among 68 post-operative radiotherapy cases, 21 received local resection, 37 received total resectionplus radical neck dissection, and 10 received superficial lobe or total resection, eachgroup hada 5-year survival rate of 28.6%, 64.9% and 100% respectively. Electronbeam plus 60Co radiation beam with a tumor dose of 5000-7000 cGy/5-7 weeks arerecommended.

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