摘要
本文报道我院放射治疗中、晚期胃癌52例,对与放疗综合的手术、化疗及放射野的设计问题进行了讨论。分析 52例中死亡 26例的死因,其中20例死于肝、腹腔广泛转移,因此提出术后放疗野应适当扩大,即将肝门包括在射野内的设计。
From June 1979 to June 1985, 52 patients with edvanced gastric carcinoma were treated with radia- tion using two fields portals, crossfiring through the epigastric region. The field size varied from 8×10cm to 10×15cm reaching a total of 3500-5000cGy. The 1-, 2-,and 3-year survival rates were 69. 2%, 63.4%,and 55. 7% respectively. Twenty-six patients died during the follow-up period:20 died of liver and peritoneum metastasis;one each died of suicide, tumor relapse, liver rupture, intercurrent rectal cancer, and cerebral embolism; one lest to follow-up. The author pointed out that early use of radiotherpay for advanced gastric carcinoma would improve the overall survival rate,and that the fields should be large enough to include the porta hepatis.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1993年第11期858-860,共3页
Chinese Journal of Clinical Oncology