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在上呼吸道恶性病变中,扁桃腺癌的发病率占第二位。多见于老年男性,且常伴有酗酒、吸烟史。对本病的治疗方案颇有争论。作者统计英国哥伦比亚癌症防治所1938年到1971年间39161例癌症病人,其中扁桃体癌175例。20例因已有广泛转移,不在本文讨论,实际统计人数是155例。统计结果说明,扁桃体癌(特别是大的扁桃体癌),尚无可靠的治疗方案。作者的意见是: 1.耳鼻喉科、放射科和临床医生要密切配合。 2.细致地测定病变程度以决定治疗方案。 3.早期的T_1和T_2N_0患者,可单纯用放射治疗。但如进展不显或复发时,则应改用手术
In the upper respiratory tract malignancy, the incidence of tonsillar cancer takes second place. More common in older men, and often accompanied by alcohol, smoking history. The treatment of this disease is quite controversial. The authors counted 39,161 cancer patients from the Cancer Institute of British Columbia from 1938 to 1971, including 175 cases of tonsillar cancer. Because 20 cases have been widely transferred and are not discussed in this paper, the actual number of statists is 155 cases. Statistical results indicate that there is no reliable treatment plan for tonsil cancer (especially for large tonsillar cancer). The author’s opinion is: 1. The ENT, radiology and clinicians should closely cooperate. 2. Determine the degree of disease carefully to determine the treatment plan. 3. Patients with early T_1 and T_2N_0 can be treated with radiation alone. However, if there is no significant progress or recurrence, then surgery should be used instead.