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晚期头颈鳞癌是采用术前放疗还是术后放疗,长期以来争议不断,给许多患者造成不必要的经济负担和身心痛苦,甚至失去了最佳治疗时机。根据美国肿瘤放疗协作组以及我科的研究结果,我们认为,对于晚期头颈鳞癌,术后放疗优于术前放疗。术后6周内给予60Gy的放射治疗,可以成为晚期头颈鳞癌治疗的金标准。
The use of preoperative radiotherapy or postoperative radiotherapy for advanced head and neck squamous cell carcinoma has been a controversy for a long time, causing unnecessary economic burdens, physical and mental pain to many patients, and even losing the optimal timing of treatment. According to the US Cancer Radiotherapy Cooperative Group and our department’s findings, we believe that postoperative radiotherapy is superior to preoperative radiotherapy for advanced head and neck squamous cell carcinoma. 60 Gy of radiation therapy within 6 weeks after surgery can be the gold standard for the treatment of advanced head and neck squamous cell carcinoma.