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对20例曾行术前进行~(60)Co照射的喉癌进行总结分析,并其中10例做了整喉连续切片的病理组织学观察。 其中男16例,女4例,年龄48岁至60岁之间。 TNM分期及分类,声门上型T_2 2例、T_33例、T_42例、声门型T_2 4例、T_3 9例。 术前放射剂量,200r1例、2,000r至3,000r4例、大于3,000至4,000 r3例、大于4,000至5,000r3例、6000r以上8例。 放疗与手术间隔时间:喉全切除术13例,喉全切除加单侧须廓清术1例,喉次全切除术2例,喉部分切除术4例。 放疗后15天手术4例,16—30天手术8例,>30天—3个月手术4例,>3月—6个月1例,>6个月—1年1例,5年9个月1例。 对其中喉全切除术的10例,做了石腊包埋的整喉连续切片观察。
Twenty patients with laryngeal carcinoma who had undergone preoperative irradiation with ~(60)Co were analyzed, and 10 of them underwent continuous histological observation of serial laryngectomy. There were 16 males and 4 females, aged between 48 and 60 years old. TNM stage and classification, supraglottic T_2 2 cases, T_33 cases, T_42 cases, glottic T_2 4 cases, T_39 cases. Preoperative radiation doses were 200r1 cases, 2,000r to 3,000r4 cases, more than 3,000 to 4,000r3 cases, more than 4,000 to 5,000r3 cases, and 6000r or more cases of 8 cases. Radiotherapy and surgery interval: total laryngectomy in 13 cases, total laryngectomy plus unilateral dissection in 1 case, subtotal laryngectomy in 2 cases, partial laryngectomy in 4 cases. 4 days after radiotherapy in 4 cases, 16-30 days in 8 cases,> 30 days in 3 months in 4 cases,> 3 months in 6 months in 1 case,> 6 months in 1 year in 1 case, 5 years in 9 years One month. Paraffin-embedded whole laryngeal sections were observed in 10 patients with total laryngectomy.