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作者报道了芝加哥大学1971～1975年治疗的42例上颌窦鳞癌,男35例,女7例,中位年龄63.5岁(42～77岁)。头颈部均做X线断层或CT、MRI确定肿瘤范围,左、右侧病灶分布相同。向上侵犯22例,向下13例,上、下均有侵犯的7例。52％病例有眼眶侵犯,鼻腔侵犯48％,口腔/口咽38％、蝶窦36％、翼腭窝31％。按1992年美国癌症协会分期:T_1 1例、T_2 5例、T_3 15例、T_4 21例。85.7％为局晚期。仅4例(9.5％)有颈淋巴结转移。其中1例两侧颈转移单纯放疗,余3例行颈清扫术:病理为N2a1例,N2b2例。31例原发灶切除行术后放疗,2
The authors reported 42 patients with maxillary sinus squamous cell carcinoma treated at the University of Chicago from 1971 to 1975, 35 males and 7 females, with a median age of 63.5 years (range, 42-77 years). Head and neck are done X-ray or CT, MRI to determine the tumor range, left and right lesions the same distribution. Upward violations of 22 cases, down 13 cases, up and down have violations in 7 cases. 52% of cases had orbital encroachment, nasal invasion 48%, oral / oropharyngeal 38%, sphenoid sinus 36%, pterygopalatine fossa 31%. According to the 1992 American Cancer Society staging: T_1 1 cases, T_2 5 cases, T_3 15 cases, T_4 21 cases. 85.7% for the Bureau of late. Only 4 cases (9.5%) had cervical lymph node metastases. One case of bilateral neck metastases radiotherapy, the other three cases of neck dissection: the pathological N2a1 cases, N2b2 cases. 31 cases of primary resection of postoperative radiotherapy, 2