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对鼻咽癌的治疗主要是采用放疗,但其复发率较高,而复发后再放疗又存在许多严重并发症。由于颅底外科的发展,打破了鼻咽部的手术禁区,使鼻咽癌放疗后失败的患者得到了手术救治的机会。该作者于1993年7月～1999年12月为18例鼻咽癌放疗后复发的患者进行了手术治疗,其中男13例,女5例,年龄30～62岁。所有患者活组织检查均证实有复发,其中16例为未分化癌,2例为角化鳞状上皮癌,肿瘤临床分期为:
The treatment of nasopharyngeal carcinoma is mainly the use of radiotherapy, but the recurrence rate is high, but there are many serious complications after recurrence and radiotherapy. Due to the development of skull base surgery, the surgical area of the nasopharynx has been broken and the patients who failed the radiotherapy of nasopharyngeal carcinoma have been given the chance of surgical treatment. The author in July 1993 ~ December 1999 18 cases of nasopharyngeal carcinoma recurrence after radiotherapy in patients with surgery, including 13 males and 5 females, aged 30 to 62 years. All patients were confirmed by biopsy recurrence, of which 16 cases of undifferentiated carcinoma, 2 cases of keratinized squamous cell carcinoma, the clinical stage of the tumor was: