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1973~1978年上海肿瘤医院共收治绒癌59例及恶性葡萄胎39例。晚期绒癌(Ⅲ_B、Ⅳ期)占57.6%。治疗以四药联合化疗为主,配合手术或放疗。直径大于3厘米的肺团块转移灶,过去单用化疗或化疗合并手术疗效很差,自采用四药联合化疗合并分段放射的新疗法后效果良好。绒癌生存率为81.4%,恶葡生存率为94.9%,晚期绒癌生存率为79.4%,肺团块转移病例的生存率为90%;5例脑转移病例,经全脑放射及化疗,4例完全康复。
From 1973 to 1978, Shanghai Cancer Hospital received 59 cases of choriocarcinoma and 39 cases of malignant mole. Late choriocarcinoma (III_B, IV) accounted for 57.6%. The treatment was based on four-drug combination chemotherapy, combined with surgery or radiotherapy. The mass of lung mass with a diameter greater than 3 cm has been poorly treated with chemotherapy or chemotherapy alone, and has been effective since the new therapy with four-drug combination chemotherapy combined with segmental radiation. The survival rate of choriocarcinoma was 81.4%, the vitiligo survival rate was 94.9%, the survival rate of advanced choriocarcinoma was 79.4%, and the survival rate of lung mass transfer cases was 90%; 5 cases of brain metastases were treated with whole brain radiation and chemotherapy. Four patients recovered completely.