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一般认为头颈部晚期恶性瘤有固定淋巴结者,不适于手术切除,应在原发病区及颈淋巴结处,采用足量灭瘤剂量放疗。治疗后6周复查.淋巴结常显著缩小,其活动度亦增加,所以可进行常规的颈廓清术。另一种不常用的方法为:为了便于固定淋巴结的标准颈廓清术及局部病变切除术,作良好的癌肿切除术,术前不用放疗。以上两种治疗方法,均认为手术将有效地改进其存活率。以往文献对此并无专题讨论,为此,作者对
It is generally believed that there are fixed lymph nodes in advanced malignant tumors of the head and neck, and it is not suitable for surgical resection. In the primary lesion area and the cervical lymph nodes, adequate radiation doses of radiation should be used. After 6 weeks of treatment, the lymph nodes were often significantly reduced and their mobility increased, so routine neck dissection can be performed. Another method that is not commonly used is: in order to facilitate the fixation of lymph nodes with standard neck dissection and local lesion resection, good cancer resection is performed without radiation before surgery. Both of the above treatments are considered to be effective in improving the survival rate. In the past, there was no discussion on this topic in the literature. For this reason, the author