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本文对我科1962～1985年收治的20例原发于扁桃体的非何杰金氏淋巴瘤,结合临床资料和治疗效果进行分析。本组男13例,女7例,年龄10～59岁,病程10天～半年。19例为单侧病灶,1例为双侧受累,病变呈外生肿块型。临床症状多数患者只有咽部异物感或轻微疼痛。Ⅰ期10例,Ⅱ期7例,Ⅲ期3例。网织细胞肉瘤6例,恶性淋巴瘤14例。采用~60Co和/或高能X线两侧野对穿照射。Ⅰ期患者照射咽淋巴环和上颈部,Ⅱ期病例采用全颈预防性照射,对Ⅲ期病人根据远处侵犯部位增设照射野。治疗剂量:原发灶照射DT45～55Gy。全
In this paper, 20 cases of non-Hodgkin’s lymphoma of the tonsils originated in our department from 1962 to 1985 were analyzed, combined with clinical data and therapeutic effects. This group of 13 males and 7 females, aged 10 to 59 years, duration of 10 days to six months. Nineteen patients had unilateral lesions and one patient had bilateral involvement. The lesions were exogenous masses. Most patients with clinical symptoms only had a foreign body sensation or slight pain in the pharynx. There were 10 cases in stage I, 7 cases in stage II, and 3 cases in stage III. Reticulocyte sarcoma in 6 cases, malignant lymphoma in 14 cases. Use ~60Co and/or high-energy X-rays for wild-type radiation on both sides. Patients in stage I were exposed to pharyngeal lymph nodes and upper neck. Phase II cases were treated with prophylactic irradiation of the entire neck. Patients in stage III were provided with irradiation fields according to distant sites. Therapeutic dose: primary tumor irradiation DT45 ~ 55Gy. all