论文部分内容阅读
1952年 Capp 考虑到颈静脉体瘤的手术死亡率高,曾断言放疗是唯一可行的治疗方法。1967年 Rosenwasser 指出早期颈静脉体瘤应首选外科手术,但病变范围过份广泛者,则放疗为最佳治疗方案。尽管颈静脉体瘤对放射线并不敏感,但它能使血管硬化,瘤体缩小。组织切片显示结缔基质变性,小血管呈现明显血管内膜炎,从而管腔随之阻塞。作者自1964~1985年共治疗颈静脉体瘤25例,分成二组;第1组1964至1975计16例,其中11例行放射治疗,随访五年预后良好,有3例随访已20年之久,仅1例复发;第2组1975至1985年9例,
In 1952, Capp considered the high operative mortality rate of jugular vein tumors and asserted that radiotherapy is the only viable treatment. In 1967, Rosenwasser pointed out that surgery should be the first choice for early jugular venosarcoma, but radiotherapy is the best treatment option if the lesion is too extensive. Although jugular vein tumors are not sensitive to radiation, they can harden the blood vessels and reduce the size of the tumor. The tissue section shows denaturation of the connective matrix, the small blood vessels show significant endocarditis, and the lumen becomes obstructed. The authors treated 25 cases of jugular venous tumors from 1964 to 1985 and divided them into two groups. The first group consisted of 16 cases from 1964 to 1975. Among them, 11 cases were treated with radiotherapy. The follow-up of 5 years showed a good prognosis, and 3 cases were followed up for 20 years. For a long time, only 1 case had recurrence; Group 2 had 9 cases from 1975 to 1985.