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我院于1986年4月～1991年10月,用放疗加化疗治疗鼻咽癌放疗后肺单发转移5例,总结如下。本组男性4例,女性1例。年龄40～50岁。原发癌病理:低分化鳞癌4例,梭形细胞癌1例。原发癌放疗后至肺转移时间:1、3、4、7、11年各1例。有呼吸道症状2例。治疗方法先:用~(60)Co外照射,部位包括纵隔和肺转移灶,每天DT2Gy,每周5次DT45Gy后缩野照转移灶,总DT60～70Gy。放疗结束后2周用PF方案化疗,5-Fu0.5加入5％葡萄糖中静滴,DDP20g加入生
In our hospital from April 1986 to October 1991, radiotherapy and chemotherapy were used to treat 5 patients with single lung metastases after radiotherapy for nasopharyngeal carcinoma, which are summarized as follows. This group of 4 males and 1 female. Age 40 to 50 years old. Primary cancer pathology: 4 cases of poorly differentiated squamous cell carcinoma and 1 case of spindle cell carcinoma. The time from primary cancer to lung metastasis was 1 in each of 1, 3, 4, 7 and 11 years. There are 2 cases of respiratory symptoms. The first method of treatment was external irradiation with ~(60)Co. The site included mediastinal and pulmonary metastases, DT2Gy per day, 5 times per week DT45Gy followed by retracted photoperiods, total DT60 ~ 70Gy. 2 weeks after the end of radiotherapy with PF regimen, 5-Fu0.5 infusion with 5% glucose, DDP20g added