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肺上沟癌预后很差,不论采取何种治疗方法,其生存期一般为10～14月。当今,肺上沟癌的治疗仍有不少争论,争论的焦点是如何选择最佳的治疗方案。Shaw(1961)报告18例肺上沟癌。采用术前放疗+肺及胸壁大块切除术。平均生存期为51个月。Pacelson(1975)报告了一组92例肺上沟癌。其中66例采用术前放疗+肺及胸壁大块切除术。五年生存率34%,10年生存率29%。但是,Kirch 和Colleagues(1973)报告60例肺上沟癌。12例采用以上治疗方案,无一例五年生存。23例采用单纯放疗,五年生存率13%,因而,作者认为单纯放疗效果最佳。但是,这组病例无明确临床分期。Atter 和Colleagues(1979)也报告73例肺上
The prognosis of supra-spinal cancer is poor. Regardless of the type of treatment, the survival period is usually 10 to 14 months. Today, there is still much debate on the treatment of lung cancer, and the focus of debate is on how to choose the best treatment. Shaw (1961) reported 18 cases of suprachoroidal carcinoma. Preoperative radiotherapy + lung and chest wall resection. The average survival period is 51 months. Pacelson (1975) reported a group of 92 patients with supraapical carcinoma. Among them, 66 patients received preoperative radiotherapy plus lung and chest wall resection. The five-year survival rate is 34%, and the 10-year survival rate is 29%. However, Kirch and Collegagues (1973) reported 60 cases of suprachoroidal carcinoma. Twelve patients were treated with the above regimen, and no one survived for five years. In 23 cases, radiotherapy alone was used, and the five-year survival rate was 13%. Therefore, the author believes that radiotherapy alone has the best effect. However, there is no clear clinical stage for this group of cases. Atter and Colleagues (1979) also reported 73 cases of lung