虽然,当今鼻咽癌以放射治疗为首选治疗方法,但外科治疗在临床上仍常被采用。例如,鼻咽癌放疗后复发病例的再治疗,高分化癌瘤,良性肿瘤出现恶变,以及在配合化疗、放疗的综合治疗中均需选用适当的手术措施。目前有人对孤立性远处转移病灶亦主张先行切除,术后再加化疗或放疗,以取得较好的姑息疗效。因此,外科治疗在鼻咽癌治疗中有其积极意义,以下仅就外科治疗的有关问题提几点看法。一、对手术治疗的评价 Although radiotherapy is currently the preferred treatment for nasopharyngeal carcinoma, surgical treatment is still commonly used clinically. For example, retreatment of recurrent cases of nasopharyngeal carcinoma after radiotherapy, well-differentiated carcinoma, benign malignant tumors, and appropriate surgical measures in combination with chemotherapy and radiotherapy. At present, it is also advocated that first-line resection of isolated distant metastasis lesions, followed by chemotherapy or radiotherapy, in order to obtain better palliative efficacy. Therefore, surgical treatment has its positive significance in the treatment of nasopharyngeal cancer. The following only points out the issues related to surgical treatment. First, the evaluation of surgical treatment