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本文报告巴黎Laennec医院1961~1977年的409例喉癌治疗经验。作者精确地报告了喉癌无论有无淋巴结存在,其预后均不良。除病变纯粹位于声带外,在原发肿瘤切除后应长期观察淋巴癌和淋巴结,必要时再进行手术治疗,这一点具有很大的重要性。从统计数字来看,彻底的、系统的淋巴结清除是预后良好的一个重要因素。一、声门及声门下癌(115例):病变局限于声带的癌肿,因淋巴较少,原则上应早期治疗。
This article reports 409 cases of laryngeal cancer treatment at Laennec Hospital in Paris from 1961 to 1977. The authors report accurately on the presence or absence of lymph nodes in laryngeal cancer, with poor prognosis. In addition to lesions located purely in the vocal cords, lymphoma and lymph nodes should be observed for a long time after excision of the primary tumor, and surgery should be performed if necessary. This is of great importance. From a statistical point of view, thorough, systematic lymph node clearance is an important prognostic factor. First, the glottis and subglottic cancer (115 cases): lesions limited to the vocal cord cancer, due to less lymphatic, in principle, should be treated early.