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本文报导全身性放射治疗(以下简称TBI)作为控制燕麦细胞癌亚临床转移的系统性治疗,肺内局限性病变用TBI后可能延迟远处转移,初步结果提示脑转移延迟,本组无脑转移病例,但不能左右已发生远处转移的病人,TBI至少不比化疗差,因为前者反应少,而且毒性低,疗程短,当TBI失效后再用化疗尚能缓解一个短时期。燕麦细胞癌可于早期即发生广泛转移,提示在诊断明确为局限性癌时,可能已有亚临床转移,单纯局部治疗常因早期远处转移而失败,多数转移至肝和脑。方法:病理证实的30例燕麦细胞癌,其中18例为局限性,12例已有远处转移,均属初治病例,
This article reports that systemic radiation therapy (hereinafter abbreviated as TBI) is used as a systemic therapy to control the subclinical metastasis of oat cell carcinoma. Delayed distant metastasis may be delayed after TBI for pulmonary localized lesions. Preliminary results suggest that brain metastasis is delayed. There is no brain metastasis in this group. Cases, but can not control patients who have distant metastasis, TBI at least not worse than chemotherapy, because the former less reaction, and low toxicity, short course of treatment, when the TBI failure after the use of chemotherapy can still ease a short period. Oat cell carcinoma can metastasize extensively in the early stage, suggesting that subclinical metastases may have occurred in the diagnosis of localized carcinoma. Simple topical therapy often fails due to early distant metastasis and most of them metastasize to the liver and brain. Methods: Thirty cases of pathologically confirmed Oat Cell Carcinoma, of which 18 were localized, and 12 had distant metastasis, were all initial cases.