摘要
本文报道医学科学院附属肿瘤医院1961年3月～1974年7月收治的26例肺尖癌,其中5例未予特殊治疗,3例单纯化疗,9例单纯放疗,7例化疗加放疗,2例放疗加手术及术后化疗。各疗法的平均存活期各为0.53个月,1.68个月、5.24个月、21.04个月及22.50个月。治疗效果以综合放疗、手术及化疗为优,术前应对原发灶、邻近纵隔及锁骨上区照射4000cGy/4w,休息2～4周手术,术后按病情补充放疗或化疗,单纯放疗者先用大野照射4000cGy,然后缩野加量到7000～8000cGy,放疗时应注意避免损伤脊髓和肺。
Twenty-six patients with pancoast tumor admitted for treatment from March 1961 to July 1974 at the Cancer Hospital, Chinese Academy of Medical Sciences were analyzed. Of these 26 patients, 5 were given palliative treatment, 3 chemotherapy, 9 radiotherapy, 7 combined chemotherapy and radiotherapy ,and 2 combined preoperative ra- diotherapy followed by surgery and postoperative chemotherapy. The average survival periods were 0.53 months, 1.68 months,5.24 months, 21.04 months and 22.50 months respectively. The combination of radiation-operation- chemotherapy or further radiation rendered the longest survival. In preoperative irradiation the field of portal encom- passed the primary lesion, and in addition, the nearby mediastinum and the supraclavicular region and a total of 4000 cGy/4 wk was given. Surgery was done in 2-4 weeks time. Postoperatively,chemotherapy or further radiation was given according to the findings at the operation. For those treated by radiotherapy alone,4000 cGy was delivered through a large field and then a total of 7000-8000 cGy was given with cone-down technique. Care should be taken not to dam- age the spinal cord or the lung.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1993年第10期774-776,共3页
Chinese Journal of Clinical Oncology
关键词
癌
肺肿瘤
病例分析
Lung cancer
Pancoast tumor
Treatment
